| Entity Name: | CATALINA HEALTH CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jan 2004 (21 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 29 Jun 2004 (21 years ago) |
| Document Number: | L04000005600 |
| FEI/EIN Number | 201135070 |
| Address: | 850 CONCOURSE PKWY S STE 250, MAITLAND, FL, 32751, US |
| Mail Address: | 1040 CROWN POINTE PKWY STE 600, ATLANTA, GA, 30338-4741, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720033616 | 2006-05-23 | 2010-03-25 | 820 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321174594, US | 820 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321174594, US | |||||||||||||||||||||||||
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| Phone | +1 386-274-4575 |
| Fax | 3862745020 |
Authorized person
| Name | BREWIER W. WELCH |
| Role | MANAGER |
| Phone | 3862744575 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1191096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028313400 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| AUGUSTA HEALTH CARE PROPERTIES, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-27 | 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-19 | 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-11 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| AMENDED AND RESTATEDARTICLES | 2004-06-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2004-05-25 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2004-04-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
