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MIDDLEBURG REHABILITATION AND NURSING CENTER LLC - Florida Company Profile

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Company Details

Entity Name: MIDDLEBURG REHABILITATION AND NURSING CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 07 Jul 2022 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 14 Nov 2024 (9 months ago)
Document Number: M22000010509
FEI/EIN Number 88-3183563
Address: 1280 HENLEY RD, MIDDLEBURG, FL, 32068, US
Mail Address: 1280 HENLEY RD, MIDDLEBURG, FL, 32068, US
ZIP code: 32068
City: Middleburg
County: Clay
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
- Agent -
Brecher Hal Authorized Person 6085 STRICKLAND AVENUE, BROOKLYN, NY, 11234

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
ABE BRAVER
User ID:
P3203712

Unique Entity ID

Unique Entity ID:
E2H9BF5H7GT3
CAGE Code:
9EPE4
UEI Expiration Date:
2025-10-24

Business Information

Activation Date:
2024-10-25
Initial Registration Date:
2022-11-21

Commercial and government entity program

CAGE number:
9EPE4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-25
CAGE Expiration:
2029-10-25
SAM Expiration:
2025-10-24

Contact Information

POC:
ABE BRAVER

National Provider Identifier

NPI Number:
1720713175
Certification Date:
2022-07-20

Authorized Person:

Name:
MOSHE KELMAN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
9046003799

Form 5500 Series

Employer Identification Number (EIN):
883183563
Plan Year:
2024
Number Of Participants:
134
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000094701 MIDDLEBURG REHABILITATION AND NURSING CENTER ACTIVE 2022-08-11 2027-12-31 - 1280 HENLEY RD, MIDDLEBURG, FL, 32068

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-11-14 - -
REGISTERED AGENT NAME CHANGED 2024-11-14 PLATINUM AGENT SERVICES LLC -
REGISTERED AGENT ADDRESS CHANGED 2024-11-14 155 OFFICE PLAZA DR., TALLAHASSEE, FL 32301 -
REINSTATEMENT 2023-10-13 - -
REVOKED FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-06
CORLCRACHG 2024-11-14
ANNUAL REPORT 2024-02-07
REINSTATEMENT 2023-10-13
Foreign Limited 2022-07-07

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24824N0313
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
362000.00
Base And Exercised Options Value:
362000.00
Base And All Options Value:
362000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-02-01
Description:
COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
G005: SOCIAL- GERIATRIC
Procurement Instrument Identifier:
36C24824D0046
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
1810000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-02-01
Description:
COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Date of last update: 03 Aug 2025

Sources: Florida Department of State