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 |
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 | |||||||||||||||||||||
|
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 |
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 |
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 |
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 | - | - |
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