| Entity Name: | ATLANTIC HEALTHCARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 May 2005 (20 years ago) |
| Date of dissolution: | 12 Jan 2016 (9 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 12 Jan 2016 (9 years ago) |
| Document Number: | F05000003168 |
| FEI/EIN Number |
52-2514811
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD, 21046, US |
| Mail Address: | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD, 21046, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346227055 | 2005-12-23 | 2014-07-16 | 3663 15TH AVENUE, VERO BEACH, FL, 32960, US | 3663 15TH AVENUE, VERO BEACH, FL, 32960, US | |||||||||||||||||||||||||
|
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| Phone | +1 772-567-2552 |
| Fax | 7725678929 |
Authorized person
| Name | MR. BRIAN REYNOLDS |
| Role | CEO |
| Phone | 4105138738 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1573096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 211524 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POOLE JOHN | President | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| FALLON JOHN | Secretary | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| NICHOLSON TIMOTHY | Director | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000067289 | ATLANTIC HEALTHCARE CENTER | EXPIRED | 2011-07-05 | 2016-12-31 | - | 7150 COLUMBIA GATEWAY DRIVE,, SUITE J, COLUMBIA, MD, 21046 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2016-01-12 | - | - |
| REGISTERED AGENT CHANGED | 2016-01-12 | REGISTERED AGENT REVOKED | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-12 | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD 21046 | - |
| CHANGE OF MAILING ADDRESS | 2013-04-12 | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD 21046 | - |
| Name | Date |
|---|---|
| Withdrawal | 2016-01-12 |
| ANNUAL REPORT | 2015-03-12 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-05 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-02-05 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-01-23 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
