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  5. BROOKS SKILLED NURSING FACILITY A, INC.

BROOKS SKILLED NURSING FACILITY A, INC. - Florida Company Profile

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Company Details

Entity Name: BROOKS SKILLED NURSING FACILITY A, 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: 18 Mar 2010 (15 years ago)
Last Event: AMENDMENT
Event Date Filed: 23 May 2011 (14 years ago)
Document Number: N10000002821
FEI/EIN Number 272153586

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
Mail Address: 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BAER DOUGLAS M Chairman 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
BAER DOUGLAS M Director 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
Serkin Howard C Director 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
DERIENZO VICTOR Vice President 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
Tabor J B Director 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
URS AGENTS, LLC Agent -
Mann Eric Director 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
HU7PKF21KMQ2
CAGE Code:
6L3T3
UEI Expiration Date:
2025-12-02

Business Information

Activation Date:
2024-12-03
Initial Registration Date:
2011-11-14

National Provider Identifier

NPI Number:
1669831079
Certification Date:
2025-02-12
Link:
View on NPI website

Authorized Person:

Name:
JENI ALLEN
Role:
DIRECTOR OF MANAGED CARE
Phone:
9043457158

Taxonomy:

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

Contacts:

Phone:
+1 904-345-7291
Fax:
9043457284
Phone:
+1 904-345-8101
Fax:
9043458108

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000020310 UNIVERSITY CROSSING ACTIVE 2016-02-25 2026-12-31 - 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216
G16000020308 UNIVERSITY CROSSING SKILLED NURSING ACTIVE 2016-02-25 2026-12-31 - 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216
G16000020309 BROOKS UNIVERSITY CROSSING ACTIVE 2016-02-25 2026-12-31 - 3599 UNIVERSITY BLVD.S, JACKSONVILLE, FL, 32216
G13000027006 BARTRAM CROSSING ACTIVE 2013-03-19 2028-12-31 - 3599 UNIVERSITY BLVD., S, 3RD FLOOR FINANCE DEPT., JACKSONVILLE, FL, 32216
G13000010134 THE GREEN HOUSE RESIDENCES ACTIVE 2013-01-29 2028-12-31 - 3599 UNIVERSITY BLVD., S, 3RD FLOOR FINANCE DEPT., JACKSONVILLE, FL, 32216
G13000010140 BARTRAM SENIOR SERVICES EXPIRED 2013-01-29 2018-12-31 - 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216
G13000010118 BROOKS REHABILITATION AT BARTRAM PARK EXPIRED 2013-01-29 2018-12-31 - 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216
G13000010124 BARTRAM CROSSING SKILLED NURSING ACTIVE 2013-01-29 2028-12-31 - 3599 UNIVERSITY BLVD., S, 3RD FLOOR FINANCE DEPT., JACKSONVILLE, FL, 32216
G13000010128 BARTRAM LAKES ASSISTED LIVING ACTIVE 2013-01-29 2028-12-31 - 3599 UNIVERSITY BLVD., S, 3RD FLOOR FINANCE DEPT., JACKSONVILLE, FL, 32216
G10000044414 ST. JOHNS HEALTH CARE CENTER EXPIRED 2010-05-20 2015-12-31 - 189 SAN MARCO AVENUE, ST. AUGUSTINE, FL, 32084

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-08-19 URS AGENTS, LLC -
REGISTERED AGENT ADDRESS CHANGED 2020-08-19 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 -
AMENDMENT 2011-05-23 - -
AMENDMENT 2010-08-16 - -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-03-22
Reg. Agent Change 2020-08-19
AMENDED ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2020-04-02
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-24
Reg. Agent Change 2018-02-07

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24824N0636
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
660000.00
Base And Exercised Options Value:
660000.00
Base And All Options Value:
660000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-06-01
Description:
EO14042 - NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24823N0582
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
660000.00
Base And Exercised Options Value:
660000.00
Base And All Options Value:
660000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-06-01
Description:
EO14042 - NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24822N0492
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
660000.00
Base And Exercised Options Value:
660000.00
Base And All Options Value:
660000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-06-01
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

USAspending Awards / Financial Assistance

Date:
2020-06-02
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-2898122.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
27-2153586
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2011-02
National Taxonomy Of Exempt Entities:
Health Care: Nursing, Convalescent Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file
Link:
Download file

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Companies related by address

3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216

BROOKS SKILLED NURSING FACILITY HOLDINGS A, INC. BROOKS SKILLED NURSING FACILITY HOLDINGS B, INC.

3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216

BROOKS SKILLED NURSING FACILITY HOLDINGS A, INC. BROOKS SKILLED NURSING FACILITY HOLDINGS B, INC.

Date of last update: 01 Jun 2025

Sources: Florida Department of State

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