| Entity Name: | WESLEY HAVEN VILLA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 12 Nov 2002 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Oct 2013 (11 years ago) |
| Document Number: | N02000008708 |
| FEI/EIN Number | 043743805 |
| Address: | 1520 COOPER HILL ROAD, BIRMINGHAM, AL, 35210 |
| Mail Address: | 1520 COOPER HILL ROAD, BIRMINGHAM, AL, 35210 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750430344 | 2007-01-10 | 2020-08-22 | 1520 COOPER HILL RD, BIRMINGHAM, AL, 352102303, US | 111 E WRIGHT ST, PENSACOLA, FL, 325014847, US | |||||||||||||||||||||
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| Phone | +1 205-951-2442 |
| Fax | 2059565001 |
| Phone | +1 850-434-1035 |
Authorized person
| Name | A WRAY TOMLIN |
| Role | PRESIDENT AND CEO |
| Phone | 2059512442 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10688 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DANIEL JOHN P | Agent | 501 COMMENDENCIA STREET, PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| TOMLIN CHRISTOPHER W | Director | 1520 COOPER HILL ROAD, BIRMINGHAM, AL, 35210 |
| Giles Michael D | Director | 1520 Cooper Hill Road, Birmingham, AL, 35210 |
| Piver Jennifer | Director | 3740 Bengal Road, Pensacola, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| ROBERTS HENRY | Vice President | 6 EAST WRIGHT STREET, PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| Terrye Takacs | President | 75 Fairpointe Drive, Gulf Breeze, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2013-10-29 | No data | No data |
| AMENDMENT | 2003-12-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-06-14 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-05-14 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
