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GULF COAST VILLAGE HOME HEALTH, INC. - Florida Company Profile

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Company Details

Entity Name: GULF COAST VILLAGE HOME HEALTH, 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: 03 Mar 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Aug 2015 (10 years ago)
Document Number: N04000002210
FEI/EIN Number 200830328

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 1660 Duke Street, Alexandria, VA, 22314, US
Address: 1435 Santa Barbara Blvd, Cape Coral, FL, 33991, US
ZIP code: 33991
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
King Michael President 1660 DUKE ST, ALEXANDRIA, VA, 22314
PERKINS DERRICK Director 1660 DUKE ST, ALEXANDRIA, VA, 22314
Knapp Keith Director 1660 Duke Street, Alexandria, VA, 22314
RASE NANCY Chairman 1660 DUKE ST, ALEXANDRIA, VA, 22314
Mullen Beth Director 1660 Duke Street, Alexandria, VA, 22314
Petersen Jeanne Director 1660 Duke Street, Alexandria, VA, 22314
CORPORATION SERVICE COMPANY Agent -

National Provider Identifier

NPI Number:
1215938535
Certification Date:
2024-03-27

Authorized Person:

Name:
SARAH RUTH SMITH
Role:
DIR. OF HOME & COMM BASED SERVICES
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2397727980

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000025211 HOME HEALTH BY GULF COAST VILLAGE ACTIVE 2013-03-13 2028-12-31 - 1435 SANTA BARBARA BLVD., UNIT 1, CAPE CORAL, FL, 33991

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-29 1435 Santa Barbara Blvd., Ste 1, Cape Coral, FL 33991 -
CHANGE OF MAILING ADDRESS 2024-03-29 1435 Santa Barbara Blvd., Ste 1, Cape Coral, FL 33991 -
REGISTERED AGENT ADDRESS CHANGED 2020-02-27 1201 HAYS ST, TALLAHASSEE, FL 32301 -
REGISTERED AGENT NAME CHANGED 2020-02-27 CORPORATION SERVICE COMPANY -
AMENDMENT 2015-08-14 - -
REINSTATEMENT 2013-11-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
AMENDMENT 2004-08-13 - -

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-25
AMENDED ANNUAL REPORT 2020-08-12
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-04

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Date of last update: 01 Jul 2025

Sources: Florida Department of State