| Entity Name: | WESLEY MANOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 14 Mar 1961 (64 years ago) |
| Document Number: | 702143 |
| FEI/EIN Number | 590872675 |
| Address: | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801, US |
| Mail Address: | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801, US |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891721924 | 2006-06-23 | 2020-08-22 | 80 W LUCERNE CIR, ORLANDO, FL, 328013779, US | 25 STATE ROAD 13, JACKSONVILLE, FL, 322592842, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-839-5050 |
| Fax | 4078491718 |
| Phone | +1 904-287-7315 |
| Fax | 9042874615 |
Authorized person
| Name | MR. HENRY T KEITH |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 4078395050 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15900961 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KEITH HENRY T | Agent | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Faubel Megan K | Secretary | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Hennis Garry | Chief Operating Officer | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| KEITH HENRY T | Chief Financial Officer | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Rogers Terence E | Chief Executive Officer | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Hillenmeyer John | Chairman | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G00077900003 | WESTMINSTER WOODS ON JULINGTON CREEK | ACTIVE | 2000-03-17 | 2025-12-31 | No data | 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-10-07 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2009-03-03 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2002-03-28 | No data | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2000-03-03 | WESLEY MANOR, INC. | No data |
| MERGER | 1998-12-28 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000021133 |
| AMENDMENT | 1997-12-30 | No data | No data |
| AMENDMENT | 1986-09-10 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
