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COLLEGE PARK REHABILITATION AND NURSING CENTER LLC - Florida Company Profile

Company Details

Entity Name: COLLEGE PARK REHABILITATION AND 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)
Document Number: M22000010494
FEI/EIN Number 88-3139055

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

Address: 13755 GOLF CLUB PKWY, FORT MYERS, FL, 33319, US
Mail Address: 13755 GOLF CLUB PKWY, FORT MYERS, FL, 33319, US
ZIP code: 33319
County: Broward
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720714348 2022-07-26 2022-08-31 13755 GOLF CLUB PKWY, FORT MYERS, FL, 339195146, US 13755 GOLF CLUB PKWY, FORT MYERS, FL, 339195146, US

Contacts

Phone +1 239-482-2848

Authorized person

Name JOEL LEIFER
Role CEO
Phone 7187056740

Taxonomy

Taxonomy Code 3140N1450X - Pediatric Skilled Nursing Facility
Is Primary Yes

Other Provider Identifiers

Issuer LICENSE
Number 1159096
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLEGE PARK 401(K) PLAN 2023 883139055 2024-09-16 COLLEGE PARK REHABILITATION AND NURSING CENTER LLC 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name AMBASSADOR HEALTHCARE AT COLLEGE PARK
Plan sponsor’s address 13755 GOLF CLUB PARKWAY, FORT MYERS, FL, 33919

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing AARON KAUFMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
COGENCY GLOBAL INC. Agent -
Markowitz Yossy Authorized Person 1487 McDonald Ave, BROOKLYN, NY, 11230

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000116093 AMBASSADOR HEALTHCARE AT COLLEGE PARK ACTIVE 2022-09-15 2027-12-31 - 13755 GOLF CLUB PKWY, FORT MYERS, FL, 33319
G22000094137 COLLEGE PARK REHABILITATION AND NURSING CENTER ACTIVE 2022-08-10 2027-12-31 - 13755 GOLF CLUB PKWY, FORT MYERS, FL, 33319

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-08-09
Foreign Limited 2022-07-07

Date of last update: 02 Mar 2025

Sources: Florida Department of State