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JACKSON PLAZA, INC. - Florida Company Profile

Company Details

Entity Name: JACKSON PLAZA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 10 Aug 2000 (25 years ago)
Document Number: N00000005241
FEI/EIN Number 651040926

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

Address: 4 Franklin Court, BRUNSWICK, FL, 08816, US
Mail Address: 4 Franklin Court, BRUNSWICK, FL, 08816, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992890099 2006-10-04 2009-02-09 1861 NW 8TH AVE, MIAMI, FL, 331361115, US 1861 NW 8TH AVE, MIAMI, FL, 331361115, US

Contacts

Phone +1 305-347-3380
Fax 3053473388

Authorized person

Name MS. TERRY G ESCOBAR
Role ADMINISTRATOR
Phone 3053473380

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF1255096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 025372300
State FL

Key Officers & Management

Name Role Address
ROZSANSKY BEN Director 4 Franklin Court, East Brunswick, NJ, 08816
WASSERMAN MARTY Director 4 Franklin Court, East Brunswick, NJ, 08816
Fruhman Harry Chief Executive Officer 4 Franklin Court, East Brunswick, NJ, 08816
Galbut Abraham A Agent 4770 Biscayne Blvd., Miami, FL, 33137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000051113 JACKSON PLAZA NURSING AND REHABILITATION CENTER EXPIRED 2012-06-04 2017-12-31 - 1800 N.E. 168 STREET, STE 200, NORTH MIAMI BEACH, FL, 33162

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-30 4 Franklin Court, BRUNSWICK, FL 08816 -
CHANGE OF MAILING ADDRESS 2023-01-30 4 Franklin Court, BRUNSWICK, FL 08816 -
REGISTERED AGENT NAME CHANGED 2020-10-06 Galbut, Abraham A. -
REGISTERED AGENT ADDRESS CHANGED 2020-10-06 4770 Biscayne Blvd., Ste 1400, Miami, FL 33137 -

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-28
AMENDED ANNUAL REPORT 2021-09-27
ANNUAL REPORT 2021-04-29
AMENDED ANNUAL REPORT 2020-10-06
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-05

Date of last update: 01 Mar 2025

Sources: Florida Department of State