| Entity Name: | ADULT HEALTHCARE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 1988 (37 years ago) |
| Document Number: | M67406 |
| FEI/EIN Number | 592895574 |
| Address: | 1805 SE 16TH AVE, SUITE 102, OCALA, FL, 34471, US |
| Mail Address: | 1805 SE 16TH AVE, SUITE 102, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750548475 | 2008-05-20 | 2008-05-20 | 12980 SW HIGHWAY 484, DUNNELLON, FL, 344326428, US | 1731 SW 2ND AVE, OCALA, FL, 344718179, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 352-387-1830 |
| Fax | 3528730237 |
Authorized person
| Name | MR. PEDER LEONARD JOHNSEN |
| Role | PRESIDENT |
| Phone | 3523871830 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7687 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14396501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER L | Agent | 1805 SE 16TH AVE SUITE 102, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER | President | 1805 SE 16TH AVE SUITE 102, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
