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SOUTH CAMPUS NURSING AND REHAB LLC

Company Details

Entity Name: SOUTH CAMPUS NURSING AND REHAB LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 04 Apr 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 28 Jul 2022 (2 years ago)
Document Number: M22000005069
FEI/EIN Number 88-0878381
Mail Address: 4417 13th Street, Suite 180, Saint Cloud, FL 34769
Address: 715 East Dixie Ave, Leesburg, FL 34748-5926
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487302824 2022-03-15 2022-03-15 715 E DIXIE AVE, LEESBURG, FL, 347485926, US 715 E DIXIE AVE, LEESBURG, FL, 347485926, US

Contacts

Phone +1 352-728-3020

Authorized person

Name MOSHE SCHEINER
Role AUTHORIZED OFFICIAL
Phone 8454906060

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
VSTATE FILINGS LLC Agent

Managing Member

Name Role Address
SOUTH CAMPUS NURSING HOLDCO LLC Managing Member 400 RELLA BLVD, MONTEBELLO, NY 10901

Authorized Representative

Name Role Address
Manela, Robert Authorized Representative 701 East Dixie Ave, Leesburg, FL 34748-5926
Milburn, Mindy Authorized Representative 701 East Dixie Ave, Leesburg, FL 34748-5926
Kass, Louis Authorized Representative 701 East Dixie Ave, Leesburg, FL 34748-5926

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000043829 SOUTH CAMPUS CARE CENTER AND REHAB ACTIVE 2022-04-06 2027-12-31 No data 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 No data
CHANGE OF MAILING ADDRESS 2024-09-12 715 East Dixie Ave, Leesburg, FL 34748-5926 No data
CHANGE OF PRINCIPAL ADDRESS 2024-09-05 715 East Dixie Ave, Leesburg, FL 34748-5926 No data
LC AMENDMENT 2022-07-28 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-12
AMENDED ANNUAL REPORT 2024-09-05
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-02-07
AMENDED ANNUAL REPORT 2023-12-20
ANNUAL REPORT 2023-03-09
LC Amendment 2022-07-28
Foreign Limited 2022-04-04

Date of last update: 12 Jan 2025

Sources: Florida Department of State