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SOUTHERN PINES NURSING CENTER LLC - Florida Company Profile

Company Details

Entity Name: SOUTHERN PINES NURSING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Jul 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Oct 2023 (2 years ago)
Document Number: M22000010484
FEI/EIN Number 88-3151651

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6140 CONGRESS ST, NEW PORT RICHEY, FL, 34653, US
Mail Address: 6140 CONGRESS ST, NEW PORT RICHEY, FL, 34653, US
ZIP code: 34653
County: Pasco
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033844378 2022-07-20 2022-07-20 6140 CONGRESS ST, NEW PORT RICHEY, FL, 346533909, US 6140 CONGRESS ST, NEW PORT RICHEY, FL, 346533909, US

Contacts

Phone +1 727-842-8402
Fax 7278418060

Authorized person

Name MATHEW VARGHESE
Role MEMBER
Phone 9178173530

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number 15060961
State FL

Key Officers & Management

Name Role Address
ASTON HEALTHCARE LLC Authorized Person -
THACKER TRICIA Authorized Person 10150 HIGHLAND MANOR DR., TAMPA, FL, 33610
Klein Yoel Agent 115 NORTH CALHOUN ST., SUITE 4, TALLAHASSEE, FL, 32301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000094141 SOUTHERN PINES NURSING CENTER ACTIVE 2022-08-10 2027-12-31 - 6140 CONGRESS ST, NEW PORT RICHEY, FL, 34653

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-18 - -
REGISTERED AGENT NAME CHANGED 2023-10-18 Klein, Yoel -
REVOKED FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2024-01-31
REINSTATEMENT 2023-10-18
Foreign Limited 2022-07-07

Date of last update: 02 Apr 2025

Sources: Florida Department of State