| Entity Name: | GENESIS HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 28 Jan 1983 (42 years ago) |
| Document Number: | 766789 |
| FEI/EIN Number | 592294863 |
| Address: | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| Mail Address: | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | GENESIS HEALTH CARE, INC., ALABAMA | 000-892-933 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952711608 | 2014-05-03 | 2014-05-03 | 924 DELANEY CIR APT 102, BRANDON, FL, 335111943, US | 924 DELANEY CIR APT 102, BRANDON, FL, 335111943, US | |||||||||||||||||
|
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| Phone | +1 941-920-1778 |
Authorized person
| Name | MS. CHRISTEN MARIE CLARK |
| Role | OCCUPATIONAL THERAPIST ASSISTANT |
| Phone | 9419201778 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | OTA 12220 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EBERST ROBERT C | Agent | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| EBERST, ROBERT C. | President | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| EBERST, ROBERT C. | Treasurer | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| ROWE STEVEN L | Treasurer | 1419 N ATLANTIC BLVD, FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| EBERST, ROBERT C. | Director | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33436 |
| FROST, GORDON W. | Director | 9311 N.W. 38 PL., SUNRISE, FL |
| EBERST ROBERT B. | Director | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33426 |
| ROWE STEVEN L | Director | 1419 N ATLANTIC BLVD, FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| FROST, GORDON W. | Secretary | 9311 N.W. 38 PL., SUNRISE, FL |
| Name | Role | Address |
|---|---|---|
| EBERST ROBERT B. | Vice President | 4712 PEPPER BUSH LANE, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| NAME CHANGE AMENDMENT | 1988-06-30 | GENESIS HEALTH CARE, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
