| Entity Name: | HOLLY HILL RHF HOUSING, 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: | 19 Sep 1986 (39 years ago) |
| Document Number: | N16905 |
| FEI/EIN Number |
59-2742497
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 911 N. Studebaker Rd., Long Beach, CA, 90815, US |
| Mail Address: | 911 N. Studebaker Rd., Long Beach, CA, 90815, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407851785 | 2005-06-14 | 2009-01-21 | 900 LPGA BLVD, HOLLY HILL, FL, 321173113, US | 900 LPGA BLVD, HOLLY HILL, FL, 321173113, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 386-226-9000 |
| Fax | 3862575069 |
Authorized person
| Name | STUART HARTMAN |
| Role | V.P. OF OPERATIONS |
| Phone | 5622575100 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1052096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020951100 |
| State | FL |
| Issuer | BX/BS OF FL |
| Number | N68 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Pollock R. J | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| DeSaegher Norma | Vice President | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Bunn Andrew | Treasurer | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Bauman John | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| East Raymond | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Hart Donald J | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| NRAI SERVICES, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | 911 N. Studebaker Rd., Long Beach, CA 90815 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-02 | 911 N. Studebaker Rd., Long Beach, CA 90815 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | - |
| REGISTERED AGENT NAME CHANGED | 1997-05-15 | NRAI SERVICES, INC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-02 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345836142 | 0419700 | 2022-03-15 | 900 LGPA BLVD, HOLLY HILL, FL, 32117 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 1599307 |
| Health | Yes |
| Type | Complaint |
| Activity Nr | 1714238 |
| Health | Yes |
| Inspection Type | Prog Other |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 2005-07-13 |
| Case Closed | 2005-08-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
