| Entity Name: | THE PONCE THERAPY CARE CENTER AND REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2022 (3 years ago) |
| Document Number: | M22000004397 |
| FEI/EIN Number | 88-1398602 |
| Mail Address: | 400 RELLA BLVD, MONTEBELLO, NY, 10901, US |
| Address: | 1999 Old Moultrie Road, St Augustine, FL, 32086-5164, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154071561 | 2022-03-28 | 2022-03-28 | 1999 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US | 1999 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US | |||||||||||||
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| Phone | +1 904-824-3311 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8454906060 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| INTERSTATE AGENT SERIVCES, LLC | Agent | 100 SE 2ND STREET STE 2000 #209, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| THE PONCE SNF HOLDCO LLC | Manager | 400 RELLA BLVD, MONTEBELLO, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000043861 | THE PONCE THERAPY CARE CENTER AND REHAB | ACTIVE | 2022-04-06 | 2027-12-31 | No data | 1999 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-22 | 1999 Old Moultrie Road, St Augustine, FL 32086-5164 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-22 | 1999 Old Moultrie Road, St Augustine, FL 32086-5164 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-22 |
| Foreign Limited | 2022-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
