| 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. |
| Address: | 1435 Santa Barbara Blvd., Cape Coral, FL, 33991, US |
| Mail Address: | 1435 Santa Barbara Blvd., Cape Coral, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215938535 | 2005-08-09 | 2024-03-27 | 1435 SANTA BARBARA BLVD STE 1, CAPE CORAL, FL, 339912842, US | 1435 SANTA BARBARA BLVD STE 1, CAPE CORAL, FL, 339912842, US | |||||||||||||||||||
|
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| Phone | +1 239-772-7480 |
| Fax | 2397727980 |
Authorized person
| Name | SARAH RUTH SMITH |
| Role | DIR. OF HOME & COMM BASED SERVICES |
| Phone | 2397727480 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA29991969 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| King Michael | President | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| PERKINS DERRICK | Vice President | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| Gavin Nancy | Asst | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| Budzynski JOSEPH | Asst | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| NUTZ FAITH | Asst | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| Edeburn Andy | Secretary | 1660 DUKE ST, ALEXANDRIA, VA, 22314 |
| CORPORATION SERVICE COMPANY | Agent | - |
| 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 |
| 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 | - | - |
| 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 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
