| Entity Name: | WILLISTON NURSING AND REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Mar 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Jul 2022 (3 years ago) |
| Document Number: | M22000004601 |
| FEI/EIN Number | 88-0768188 |
| Mail Address: | 4417 13th Street, Saint Cloud, FL, 34769, US |
| Address: | 300 NW First Ave, Williston, FL, 32696, US |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811645260 | 2022-03-15 | 2022-03-15 | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | |||||||||||||
|
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| Phone | +1 352-528-3561 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8454906060 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WILLISTON NURSING HOLDCO LLC | Managing Member | 400 RELLA BLVD, MONTEBELLO, NY, 10901 |
| Name | Role | Address |
|---|---|---|
| Milburn Mindy | Auth | 300 NW First Ave, Williston, FL, 32696 |
| Manela Robert | Auth | 300 NW First Ave, Williston, FL, 32696 |
| Clough Hemi | Auth | 400 RELLA BLVD, MONTEBELLO, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000043873 | WILLISTON CARE CENTER AND REHAB | ACTIVE | 2022-04-06 | 2027-12-31 | No data | 4417 13TH STREET, SAINT CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-08 | 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-12 | 300 NW First Ave, Williston, FL 32696 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-04 | 300 NW First Ave, Williston, FL 32696 | No data |
| LC AMENDMENT | 2022-07-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000223915 | ACTIVE | 1000000987780 | LEVY | 2024-04-08 | 2044-04-17 | $ 4,394.97 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J24000065662 | ACTIVE | 1000000977822 | LEVY | 2024-01-22 | 2044-01-31 | $ 9,629.94 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-12 |
| AMENDED ANNUAL REPORT | 2024-07-25 |
| ANNUAL REPORT | 2024-02-08 |
| AMENDED ANNUAL REPORT | 2023-12-20 |
| ANNUAL REPORT | 2023-04-04 |
| LC Amendment | 2022-07-28 |
| Foreign Limited | 2022-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
