| Entity Name: | GAINESVILLE COUNCIL ON AGING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Dec 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Aug 2022 (3 years ago) |
| Document Number: | N00000008375 |
| FEI/EIN Number |
651075845
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4653 Trueman Boulevard, hilliard, OH, 43026, US |
| Mail Address: | 4107 W Spruce St., Ste 101, tampa, FL, 33607, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114928215 | 2005-08-10 | 2013-01-22 | 1311 SW 16TH ST, GAINESVILLE, FL, 326081128, US | 1311 SW 16TH ST, GAINESVILLE, FL, 326081128, US | |||||||||||||||||||||||||
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| Phone | +1 352-376-8821 |
| Fax | 3523763654 |
Authorized person
| Name | MR. EDWARD W HURT |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 3523768821 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1568096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022928800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATHEN STEVE | Director | 4653 TRUEMAN BOULEVARD, HILLIARD, OH, 43026 |
| O'CARROLL PAT | Director | 3905 NW 37TH PLACE, GAINESVILLE, FL, 32606 |
| CORPORATE CREATIONS NETWORK INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000013394 | GAINESVILLE HEALTH CARE CENTER | EXPIRED | 2012-02-08 | 2017-12-31 | - | 1311 SW 16TH AVENUE, GAINESVILLE, FL, 32608, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-08-02 | Corporate Creations Network Inc. | - |
| REINSTATEMENT | 2022-08-02 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-02 | 801 US Highway 1, North Palm Beach, FL 33408 | - |
| CHANGE OF MAILING ADDRESS | 2021-10-07 | 4653 Trueman Boulevard, suite 100, hilliard, OH 43026 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-22 | 4653 Trueman Boulevard, suite 100, hilliard, OH 43026 | - |
| AMENDMENT | 2004-09-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-08 |
| ANNUAL REPORT | 2023-04-26 |
| REINSTATEMENT | 2022-08-02 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-06-17 |
| Reg. Agent Change | 2018-10-01 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-22 |
| AMENDED ANNUAL REPORT | 2016-09-14 |
| ANNUAL REPORT | 2016-01-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | VA573B0002 | 2007-02-01 | 2008-01-31 | 2012-01-31 | |||||||||||||||||||||||||
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| Obligated Amount | 250257.00 |
| Current Award Amount | 250257.00 |
| Potential Award Amount | 250257.00 |
Description
| Title | GAINESVILLE HEALTHCARE CENTER |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | GAINESVILLE COUNCIL ON AGING, INC. |
| UEI | TUMRYUWK57J9 |
| Recipient Address | 1311 SW 16TH ST, GAINESVILLE, ALACHUA, FLORIDA, 326081128, UNITED STATES |
| Unique Award Key | CONT_AWD_VA573B0001_3600_VA248BO0012_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 813847.00 |
| Current Award Amount | 813847.00 |
| Potential Award Amount | 813847.00 |
Description
| Title | GAINESVILLE HEALTHCARE CENTER |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | GAINESVILLE COUNCIL ON AGING, INC. |
| UEI | TUMRYUWK57J9 |
| Recipient Address | 1311 SW 16TH ST, GAINESVILLE, ALACHUA, FLORIDA, 326081128, UNITED STATES |
| Unique Award Key | CONT_IDV_VA248BO0012_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 300000.00 |
Description
| Title | GAINESVILLE HEALTHCARE CENTER |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | GAINESVILLE COUNCIL ON AGING, INC. |
| UEI | TUMRYUWK57J9 |
| Recipient Address | 1311 SW 16TH ST, GAINESVILLE, ALACHUA, FLORIDA, 326081128, UNITED STATES |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
