| Entity Name: | LIFE CARE PONTE VEDRA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 04 Aug 1983 (41 years ago) |
| Document Number: | 769699 |
| FEI/EIN Number | 592555812 |
| Address: | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Mail Address: | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265678080 | 2008-12-29 | 2008-12-29 | 1000 VICARS LANDING WAY, PONTE VEDRA BEACH, FL, 320823151, US | 1003 YORK RD, PONTE VEDRA BEACH, FL, 320823116, US | |||||||||||||||||||
|
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| Phone | +1 904-273-1701 |
| Fax | 9042851384 |
| Phone | +1 904-273-1718 |
| Fax | 9042739573 |
Authorized person
| Name | MS. KRISTI QUICK |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9042731701 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5493005MS8VGX4GAWN28 | 769699 | US-FL | GENERAL | ACTIVE | 1983-08-04 | |||||||||||||||||||
|
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| Legal | C/O JONES, D. BRUCE, 1000 VICARS LANDING WAY, PONTE VEDRA BEACH, US-FL, US, 32082 |
| Headquarters | C/O Jones, D. Bruce, 1000 Vicar's Landing Way, Ponte Vedra Beach, US-FL, US, 32082 |
Registration details
| Registration Date | 2016-03-05 |
| Last Update | 2023-09-27 |
| Status | LAPSED |
| Next Renewal | 2023-09-27 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 769699 |
| Name | Role | Address |
|---|---|---|
| JONES DONALD B | Agent | 1000 VICARS LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| Ng Christine SDr. | BOAR | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| CROSBY STEPHEN A | BOAR | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| DEKAY MELISSA B | BOAR | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| PIRKLE DALE F | Chief Operating Officer | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| ROY JAMES B | Chief Financial Officer | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| Jones Donald B | Chief Executive Officer | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000078491 | VICAR'S LANDING HOME HEALTH AGENCY | ACTIVE | 2024-06-27 | 2029-12-31 | No data | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| G23000135266 | VICAR'S LANDING | ACTIVE | 2023-11-03 | 2028-12-31 | No data | 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082 |
| G20000140830 | THE STRATFORD | ACTIVE | 2020-10-31 | 2025-12-31 | No data | 1004 VICAR'S WOODS ROAD, PONTE VEDRA BEACH, FL, 32082 |
| G19000125759 | VICAR'S LANDING NURSING HOME | ACTIVE | 2019-11-25 | 2029-12-31 | No data | 1003 YORK ROAD, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2021-04-30 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000212581 |
| RESTATED ARTICLES AND NAME CHANGE | 1997-10-17 | LIFE CARE PONTE VEDRA, INC. | No data |
| AMENDMENT | 1984-12-12 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000184048 | TERMINATED | CA12-1544 | 7TH JUD. CIR., ST. JOHNS CTY | 2016-01-27 | 2021-03-18 | $119,045.40 | H.K. WU AND KATHLEEN WU, 3201 OLD BARN COURT, PONTE VEDRA BEACH, FL 32082 |
| J13001658039 | LAPSED | CA12-1544 | 7TH JUD CIR. ST. JOHNS CO. | 2013-10-08 | 2018-11-12 | $88,887.93 | H.K. WU AND KATHLEEN WU, 3201 OLD BARN COURT, PONTE VEDRA BEACH, FL 32082 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
