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  5. GULF COAST VILLAGE HOME HEALTH, INC.

GULF COAST VILLAGE HOME HEALTH, INC.

Company Details

Entity Name: GULF COAST VILLAGE HOME HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 03 Mar 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Aug 2015 (9 years ago)
Document Number: N04000002210
FEI/EIN Number 20-0830328
Address: 1435 Santa Barbara Blvd., Ste 1, Cape Coral, FL 33991
Mail Address: 1435 Santa Barbara Blvd., Ste 1, Cape Coral, FL 33991
ZIP code: 33991
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

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

Contacts
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

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

President

Name Role Address
King, Michael President 1660 DUKE ST, ALEXANDRIA, VA 22314

Vice Chairperson

Name Role Address
PERKINS, DERRICK Vice Chairperson 1660 DUKE ST, ALEXANDRIA, VA 22314

Asst. Secretary

Name Role Address
Gavin, Nancy Asst. Secretary 1660 DUKE ST, ALEXANDRIA, VA 22314
Budzynski, JOSEPH Asst. Secretary 1660 DUKE ST, ALEXANDRIA, VA 22314
NUTZ, FAITH Asst. Secretary 1660 DUKE ST, ALEXANDRIA, VA 22314

Asst. Treasurer

Name Role Address
Gavin, Nancy Asst. Treasurer 1660 DUKE ST, ALEXANDRIA, VA 22314
Budzynski, JOSEPH Asst. Treasurer 1660 DUKE ST, ALEXANDRIA, VA 22314
NUTZ, FAITH Asst. Treasurer 1660 DUKE ST, ALEXANDRIA, VA 22314

Secretary

Name Role Address
Edeburn, Andy Secretary 1660 DUKE ST, ALEXANDRIA, VA 22314

Chairperson

Name Role Address
RASE, NANCY Chairperson 1660 DUKE ST, ALEXANDRIA, VA 22314

Treasurer

Name Role Address
Erickson, Karen Treasurer 1660 Duke St, Alexandria, VA 22314

Assistant Secretary

Name Role Address
Black King, Kimberly Assistant Secretary 1660 Duke St, Alexandria, VA 22314
Nisivoccia, David Assistant Secretary 1660 Duke St, Alexandria, VA 22314
Soczynski, Paul Assistant Secretary 1660 Duke St, Alexandria, VA 22314
Keller, Ryan Assistant Secretary 1333 Santa Barbara Blvd, Cape Coral, FL 33991

Assistant Treasurer

Name Role Address
Black King, Kimberly Assistant Treasurer 1660 Duke St, Alexandria, VA 22314
Nisivoccia, David Assistant Treasurer 1660 Duke St, Alexandria, VA 22314
Soczynski, Paul Assistant Treasurer 1660 Duke St, Alexandria, VA 22314
Keller, Ryan Assistant Treasurer 1333 Santa Barbara Blvd, Cape Coral, FL 33991

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 No data 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 No data
CHANGE OF MAILING ADDRESS 2024-03-29 1435 Santa Barbara Blvd., Ste 1, Cape Coral, FL 33991 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-27 1201 HAYS ST, TALLAHASSEE, FL 32301 No data
REGISTERED AGENT NAME CHANGED 2020-02-27 CORPORATION SERVICE COMPANY No data
AMENDMENT 2015-08-14 No data No data
REINSTATEMENT 2013-11-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
AMENDMENT 2004-08-13 No data No data

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

Related by officers

King, Michael

INFINITY GRAPHIX, INC. INFINITY BEACH BIKE SHOP, INC. VOA LAS PALMAS AH GP, INC. PEAK PERFORMANCE FOUNDATION OF GAINESVILLE, INC. TRIPLE CROSS ENTERPRISES LLC MK COMPUTERS LLC MENENDEZ PARK ASSOCIATION, INC. VOA SWEETWATER TOWERS AH GP, INC. VOA HIALEAH RESIDENCE AH GP, INC. VOA CREEKSIDE MANOR AH GP, INC.

PERKINS, DERRICK

GCV EMPLOYEE APPRECIATION FUND, INC. VOA LEE COUNTY HEALTH CARE FACILITY, INC. GCV RESIDENT COUNCIL FUND, INC. VOA CLEAR BAY TERRACE AH GP, INC. VOA CREEKSIDE MANOR AH GP, INC. POD N GROW LLC AG TEK STAFFING LLC VOA SILVER LAKES VILLAGE AH GP, INC. CARBON FARMING SOLUTIONS LLC

NUTZ, FAITH

GCV RESIDENT COUNCIL FUND, INC. VOA CLEAR BAY TERRACE AH GP, INC.

Edeburn, Andy

VOANS SW FLORIDA HEALTHCARE, INC. VOA PUERTA DEL SOL AH GP, INC.

RASE, NANCY

GCV EMPLOYEE APPRECIATION FUND, INC. VOA LEE COUNTY HEALTH CARE FACILITY, INC. GCV RESIDENT COUNCIL FUND, INC. VOLUNTEERS OF AMERICA HOME HEALTH SERVICES, INC. VOA LOS ROBLES AH GP, INC. VOA CLEAR BAY TERRACE AH GP, INC. VOA PINE GROVE AH GP, INC.

Erickson, Karen

VOA LEE COUNTY HEALTH CARE FACILITY, INC. VOA LAS PALMAS AH GP, INC. VOLUNTEERS OF AMERICA HOME HEALTH SERVICES, INC. VOA LOS ROBLES AH GP, INC. VOA SWEETWATER TOWERS AH GP, INC. VOA HIALEAH RESIDENCE AH GP, INC. VOA PUERTA DEL SOL AH GP, INC. VOA CREEKSIDE MANOR AH GP, INC. VOA PINE GROVE AH GP, INC. VOA FREEDOM POINTE AH GP, INC.

Related by address

No related companies by address

Date of last update: 05 Jan 2025

Sources: Florida Department of State

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