| Entity Name: | DESTIN HEALTH CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DESTIN HEALTH CARE ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 30 Jul 2001 (24 years ago) |
| Date of dissolution: | 01 Feb 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 01 Feb 2012 (13 years ago) |
| Document Number: | L01000012606 |
| FEI/EIN Number |
582639433
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
| Address: | 195 MATTIE M. KELLY BOULEVARD, DESTIN, FL, 32541, US |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952357923 | 2006-05-25 | 2012-11-04 | 195 MATTIE M KELLY BLVD, DESTIN, FL, 325412811, US | 195 MATTIE M KELLY BLVD, DESTIN, FL, 325412811, US | |||||||||||||||||||||||||
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| Phone | +1 850-654-4588 |
| Fax | 8506543944 |
Authorized person
| Name | AMANDA M. ADAMS |
| Role | MANAGER |
| Phone | 8506544588 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF16210961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025216600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALTZ MATTHEW H | Manager | 195 MATTIE M. KELLY BOULEVARD., DESTIN, FL, 32541 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-02-01 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131230. MERGER NUMBER 300000119973 |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-22 | 195 MATTIE M. KELLY BOULEVARD, DESTIN, FL 32541 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-22 | 195 MATTIE M. KELLY BOULEVARD, DESTIN, FL 32541 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-11 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | CORPORATION SERVICE COMPANY | - |
| AMENDED AND RESTATEDARTICLES | 2004-08-09 | - | - |
| AMENDED AND RESTATEDARTICLES | 2004-04-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-04-13 |
| ANNUAL REPORT | 2005-04-29 |
| Reg. Agent Change | 2005-04-11 |
| Amended and Restated Articles | 2004-08-09 |
| ANNUAL REPORT | 2004-04-20 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 311818538 | 0419700 | 2008-11-04 | 195 MATTIE M. KELLY BLVD, DESTIN, FL, 32541 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19101030 F02 I |
| Issuance Date | 2008-11-12 |
| Abatement Due Date | 2008-12-09 |
| Current Penalty | 1125.0 |
| Initial Penalty | 1125.0 |
| Nr Instances | 5 |
| Nr Exposed | 5 |
| Gravity | 03 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040029 B01 |
| Issuance Date | 2008-11-12 |
| Abatement Due Date | 2009-01-05 |
| Current Penalty | 2100.0 |
| Initial Penalty | 2100.0 |
| Nr Instances | 4 |
| Gravity | 00 |
Date of last update: 02 May 2025
Sources: Florida Department of State
