| Entity Name: | ORANGE PARK REHABILITATION AND NURSING CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jul 2022 (3 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 20 Nov 2024 (2 months ago) |
| Document Number: | M22000010479 |
| FEI/EIN Number | 88-3183696 |
| Address: | 2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073 |
| Mail Address: | 2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003541475 | 2022-07-20 | 2022-07-20 | 2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL, 320734461, US | 2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL, 320734461, US | |||||||||||||||||||||
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| Phone | +1 904-272-6194 |
| Fax | 9042722085 |
Authorized person
| Name | MOSHE KELMAN |
| Role | MEMBER |
| Phone | 9176131662 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 13900961 |
| State | FL |
| Name | Role |
|---|---|
| PLATINUM AGENT SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SCHLANGER, ALAN | Authorized Person | 6085 STRICKLAND AVENUE, BROOKLYN, NY 11234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000094703 | ORANGE PARK REHABILITATION AND NURSING CENTER | ACTIVE | 2022-08-11 | 2027-12-31 | No data | 2029 PROFESSIONAL CENTER DR, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-11-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-20 | PLATINUM AGENT SERVICES LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-20 | 155 OFFICE PLAZA DRIVE, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-11-20 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-07-11 |
| Foreign Limited | 2022-07-07 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
