| Entity Name: | WATERMAN SNF OPERATIONS 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: | 21 Feb 2023 (2 years ago) |
| Document Number: | M23000002300 |
| FEI/EIN Number |
922090313
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1777 AVENUE OF THE STATES STE 204, LAKEWOOD, NJ, 08701, US |
| Mail Address: | 2123 Centre Pointe BLVD, Tallahassee, FL, 32309, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285333294 | 2023-02-28 | 2023-02-28 | 267 BROADWAY, BROOKLYN, NY, 112116216, US | 4501 WATERMAN WAY, TAVARES, FL, 327785312, US | |||||||||||||||||||||||
|
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| Phone | +1 352-609-4000 |
Authorized person
| Name | SOLOMON KLEIN |
| Role | CEO |
| Phone | 3479091811 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100964700 |
| State | FL |
| Issuer | MEDICARE |
| Number | 10-6119 |
| Name | Role | Address |
|---|---|---|
| WATERMAN SNF OPERATIONS HOLDINGS LLC | Member | 1777 AVENUE OF THE STATES STE 204, LAKEWOOD, NJ, 08701 |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000028626 | SOLARIS HEALTHCARE WATERMAN | ACTIVE | 2023-03-02 | 2028-12-31 | - | 4501 WATERMAN WAY, TAVARES, FL, 32278 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-19 | 1777 AVENUE OF THE STATES STE 204, LAKEWOOD, NJ 08701 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| Foreign Limited | 2023-02-21 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
