| Entity Name: | PLAZA HEALTHCARE AND REHABILITATION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2023 (a year ago) |
| Document Number: | M23000013340 |
| FEI/EIN Number | 99-0806101 |
| Address: | 4842 SW Archer Road, Gainesville, FL, 32608-3813, US |
| Mail Address: | 4417 13th street, Suite 180, Saint Cloud, FL, 34769, US |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538925714 | 2024-02-26 | 2024-02-26 | 4842 SW ARCHER RD, GAINESVILLE, FL, 326083813, US | 4842 SW ARCHER RD, GAINESVILLE, FL, 326083813, US | |||||||||||||
|
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| Phone | +1 352-376-8821 |
Authorized person
| Name | MR. MOSS ELLENBOGEN |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3053083878 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Manela Robert | Auth | 400 RELLA BOULEVARD, SUITE 200, MONTEBELLO, NY, 10901 |
| Milburn Mindy | Auth | 400 RELLA BOULEVARD, SUITE 200, MONTEBELLO, NY, 10901 |
| Hicks Charolyn | Auth | 4842 SW Archer Road, Gainesville, FL, 326083813 |
| Name | Role | Address |
|---|---|---|
| RM IRREVOCABLE TRUST | Managing Member | 400 RELLA BOULEVARD, SUITE 200, MONTEBELLO, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000011236 | THE PLAZA HEALTH AND REHAB CENTER | ACTIVE | 2024-01-19 | 2029-12-31 | No data | 4417 13TH STREET STE 180, SAINT CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-08 | 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-05 | 4842 SW Archer Road, Gainesville, FL 32608-3813 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-05 | 4842 SW Archer Road, Gainesville, FL 32608-3813 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-05 |
| ANNUAL REPORT | 2024-04-01 |
| Foreign Limited | 2023-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
