| Entity Name: | IHS OF FLORIDA AT JACKSONVILLE, 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: | 05 Apr 1999 (26 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: | F99000001772 |
| FEI/EIN Number |
52-2155335
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1650 Fouraker Rd., Jacksonville, FL, 32221, US |
| Mail Address: | 1423 Clarkview Road, Suite 500, Baltimore, MD, 21209, US |
| ZIP code: | 32221 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033194279 | 2005-12-09 | 2014-07-16 | 1650 FOURAKER RD, JACKSONVILLE, FL, 32221, US | 1650 FOURAKER RD, JACKSONVILLE, FL, 32221, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-786-8668 |
| Fax | 9046950166 |
Authorized person
| Name | MR. BRIAN REYNOLDS |
| Role | CEO |
| Phone | 4105138738 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1087096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 218171 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NICHOLSON, TIMOTHY | Director | 1423 Clarkview Road, Baltimore, MD, 21209 |
| POOLE, JOHN | President | 1423 Clarkview Road, Baltimore, MD, 21209 |
| REYNOLDS BRIAN K | Othe | 1423 Clarkview Road, Baltimore, MD, 21209 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000067262 | WEST JACKSONVILLE HEALTH AND REHABILITATION 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 | 2015-03-20 | 1650 Fouraker Rd., Jacksonville, FL 32221 | - |
| CHANGE OF MAILING ADDRESS | 2015-03-20 | 1650 Fouraker Rd., Jacksonville, FL 32221 | - |
| Name | Date |
|---|---|
| Withdrawal | 2016-01-12 |
| AMENDED ANNUAL REPORT | 2015-03-20 |
| 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 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
