| Entity Name: | HEBREW HOME SINAI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Mar 2003 (22 years ago) |
| Document Number: | N03000001844 |
| FEI/EIN Number | 13-4245879 |
| Address: | 4 Franklin Court, East Brunswick, NJ 08816 |
| Mail Address: | 4 Franklin Court, BRUNSWICK, FL 08816 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548350689 | 2006-10-12 | 2016-06-14 | 201 NE 112TH ST, MIAMI, FL, 331617022, US | 201 NE 112TH ST, MIAMI, FL, 331617022, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-899-4700 |
| Fax | 3058994719 |
Authorized person
| Name | HEIDI TUCKER |
| Role | ADMINISTRATOR |
| Phone | 3058994700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15190961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS PROVIDER # |
| Number | K6E |
| State | FL |
| Issuer | MEDICAID |
| Number | 026077100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Galbut, Abraham A. | Agent | 4770 Biscayne Blvd, Ste 1400, Miami, FL 33137 |
| Name | Role | Address |
|---|---|---|
| WASSERMAN, MARTY | Secretary | 4 Franklin Court, East Brunswick, NJ 08816 |
| Name | Role | Address |
|---|---|---|
| WASSERMAN, MARTY | Vice President | 4 Franklin Court, East Brunswick, NJ 08816 |
| Name | Role | Address |
|---|---|---|
| Fruhman, Harry | Chief Executive Officer | 4 Franklin Court, East Brunswick, NJ 08816 |
| Name | Role | Address |
|---|---|---|
| ROZSANSKY, BEN | Director | 4 Franklin Court, East Brunswick, NJ 08816 |
| Name | Role | Address |
|---|---|---|
| WASSERMAN, MARTY | Treasurer | 4 Franklin Court, East Brunswick, NJ 08816 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-14 | 4 Franklin Court, East Brunswick, NJ 08816 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 4 Franklin Court, East Brunswick, NJ 08816 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-06 | Galbut, Abraham A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-06 | 4770 Biscayne Blvd, Ste 1400, Miami, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-04-29 |
| AMENDED ANNUAL REPORT | 2020-10-06 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-11 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
