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GULF CARE, INC.

Company Details

Entity Name: GULF CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 21 May 1982 (43 years ago)
Document Number: 763384
FEI/EIN Number 592239342
Address: 1333 Santa Barbara Blvd., Cape Coral, FL, 33991, US
Mail Address: 1333 Santa Barbara Blvd., Cape Coral, FL, 33991, US
ZIP code: 33991
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962403287 2005-08-09 2020-08-22 1333 SANTA BARBARA BLVD, CAPE CORAL, FL, 339912803, US 1333 SANTA BARBARA BLVD, CAPE CORAL, FL, 339912803, US

Contacts

Phone +1 239-772-1333

Authorized person

Name MR. KEVIN AHMADI
Role EXECUTIVE DIRECTOR
Phone 2397721333

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL7386
State FL
Is Primary No
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF1188096
State FL
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Address
Perkins Derrick Director 1660 Duke Street, Alexandria, VA, 22314

Asst

Name Role Address
GAVIN NANCY Asst 1660 Duke Street, Alexandria, VA, 22314
BUDZYNSKI JOSEPH Asst 1660 Duke Street, Alexandria, VA, 22314
NUTZ FAITH Asst 1660 Duke Street, Alexandria, VA, 22314

Secretary

Name Role Address
Edeburn Andy Secretary 1660 Duke Street, Alexandria, VA, 22314

President

Name Role Address
King Michael President 1660 Duke Street, Alexandria, VA, 22314

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000134836 GULF COAST VILLAGE NURSING HOME ACTIVE 2024-11-04 2029-12-31 No data 1333 SANTA BARBARA BLVD, CAPE CORAL, FL, 33991
G19000058639 OUTPATIENT SERVICES BY GULF COAST VILLAGE EXPIRED 2019-05-16 2024-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G16000139553 PALMVIEW AT GULF COAST VILLAGE ACTIVE 2016-12-28 2026-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G16000119465 PALM VIEW BY GULF COAST VILLAGE EXPIRED 2016-11-03 2021-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G15000022489 THE VILLAGE THRIFT ACTIVE 2015-03-03 2025-12-31 No data 1660 DUKE STREET, ALEXANDRIA, VA, 22314
G14000031756 GULF COAST VILLAGE CARE CENTER EXPIRED 2014-03-31 2024-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G14000031755 GULF COAST VILLAGE ASSISTED LIVING EXPIRED 2014-03-31 2024-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G13000025201 HOME CARE BY GULF COAST VILLAGE ACTIVE 2013-03-13 2028-12-31 No data 1435 SANTA BARBARA BLVD., UNIT 1, CAPE CORAL, FL, 33991
G13000025217 OUTPATIENT SERVICES BY GULF COAST VILLAGE EXPIRED 2013-03-13 2018-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991
G13000019049 THE VILLAGE CHAPEL ACTIVE 2013-02-25 2028-12-31 No data 1333 SANTA BARBARA BLVD., CAPE CORAL, FL, 33991

Events

Event Type Filed Date Value Description
AMENDMENT 2015-08-17 No data No data
AMENDMENT 2013-11-07 No data No data
AMENDMENT 2012-10-19 No data No data
AMENDMENT 2010-12-29 No data No data
AMENDMENT 2009-06-30 No data No data
AMENDMENT 1988-05-06 No data No data
AMENDMENT 1986-05-01 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State