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THE LODGE HEALTHCARE AND REHABILITATION CENTER LLC - Florida Company Profile

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Company Details

Entity Name: THE LODGE HEALTHCARE AND REHABILITATION CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 23 Mar 2022 (3 years ago)
Document Number: M22000004396
FEI/EIN Number 88-1398455
Mail Address: 4417 13th Street, Saint Cloud, FL, 34769, US
Address: 635 SE 17th Street,, Ocala, FL, 34471, US
ZIP code: 34471
City: Ocala
County: Marion
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
THE LODGE SNF HOLDCO LLC Managing Member 400 RELLA BLVD, MONTEBELLO, NY, 10901
- Agent -

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
TANIA ABRAHAM
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P2957068

Commercial and government entity program

CAGE number:
9GJS6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-21
CAGE Expiration:
2030-07-21
SAM Expiration:
2026-07-17

Contact Information

POC:
TANIA ABRAHAM

National Provider Identifier

NPI Number:
1326798711
Certification Date:
2022-03-28

Authorized Person:

Name:
MOSHE SCHEINER
Role:
AUTHORIZED MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000043858 THE LODGE HEALTHCARE AND REHABILITATION CENTER ACTIVE 2022-04-06 2027-12-31 - 4417 13TH STREET, STE 180, SAINT CLOUD, FL, 34769

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-08 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 -
CHANGE OF MAILING ADDRESS 2024-09-12 635 SE 17th Street,, Ocala, FL 34471 -
CHANGE OF PRINCIPAL ADDRESS 2023-03-22 635 SE 17th Street,, Ocala, FL 34471 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
AMENDED ANNUAL REPORT 2024-09-12
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-12-20
ANNUAL REPORT 2023-03-22
Foreign Limited 2022-03-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State