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MOORINGS PARK COMMUNITY HEALTH, INCORPORATED

Company Details

Entity Name: MOORINGS PARK COMMUNITY HEALTH, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 20 Jul 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Aug 2023 (a year ago)
Document Number: N04000007136
FEI/EIN Number 65-1232037
Address: 120 MOORINGS PARK DR., NAPLES, FL 34105
Mail Address: 120 MOORINGS PARK DR., NAPLES, FL 34105
ZIP code: 34105
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851454094 2006-12-19 2020-08-22 111 MOORINGS PARK DR, NAPLES, FL, 341052118, US 111 MOORINGS PARK DR, NAPLES, FL, 341052118, US

Contacts

Phone +1 239-261-1616
Fax 2396439138

Authorized person

Name MR. GUENTHER GOSCH
Role CEO, PRESIDENT
Phone 2392611616

Taxonomy

Taxonomy Code 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF)
Is Primary Yes

Agent

Name Role Address
LAVENDER, DANIEL J Agent 120 MOORINGS PARK DR., NAPLES, FL 34105

President

Name Role Address
LAVENDER, DANIEL J President 120 Moorings Park Drive, NAPLES, FL 34105

Chief Executive Officer

Name Role Address
LAVENDER, DANIEL J Chief Executive Officer 120 Moorings Park Drive, NAPLES, FL 34105

Secretary

Name Role Address
Holquist, Laura Secretary 15696 Light Blue Circle, Ft. Myers, FL 33908

Treasurer

Name Role Address
Holquist, Laura Treasurer 15696 Light Blue Circle, Ft. Myers, FL 33908

Chairman

Name Role Address
PHILLIPS, LAURIE COWAN Chairman 436 1ST AVENUE NORTH, NAPLES, FL 34102

Director

Name Role Address
Budd, Russell Director 4395 Corporate Square, Naples, FL 34104
Zaccignino, Joseph Director 701 Jamestown Lane, Naples, FL 34108
Solis, Andy Director 4521 Broadway Ave W, Estero, FL 33928
HOLE, MICHAEL Director 12892 INSHORE DRIVE, PALM BEACH GARDENS, FL 33410
FRIDKIN, JEFFREY Director 5551 RIDGEWOOD DRIVE, SUITE 501 NAPLES, FL 34108
JOHNSON, KAYDA Director 7430 LITTLE LANE F-202, NAPLES, FL 34105
PATTON, KAMELA Director 4001 GULFSHORE BLVD N #802, NAPLES, FL 34103
Powder, Scott Director 9739 Nickel Ridge Circle, Naples, FL 34120

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000087324 MOORINGS PARK VIP SERVICES ACTIVE 2023-07-26 2028-12-31 No data 134 MOORINGS PARK DRIVE, NAPLES, FL, 34105
G07044900001 MOORINGS PARK HOME HEALTH AGENCY ACTIVE 2007-02-16 2027-12-31 No data 120 MOORINGS PARK DRIVE, STE C, NAPLES, FL, 34105

Events

Event Type Filed Date Value Description
AMENDMENT 2023-08-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-03-18 120 MOORINGS PARK DR., NAPLES, FL 34105 No data
CHANGE OF MAILING ADDRESS 2014-03-18 120 MOORINGS PARK DR., NAPLES, FL 34105 No data
REGISTERED AGENT NAME CHANGED 2014-03-18 LAVENDER, DANIEL J No data
REGISTERED AGENT ADDRESS CHANGED 2014-03-18 120 MOORINGS PARK DR., NAPLES, FL 34105 No data
AMENDED AND RESTATEDARTICLES 2004-11-16 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-21
ANNUAL REPORT 2024-04-04
Amendment 2023-08-15
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-02-19

Date of last update: 05 Jan 2025

Sources: Florida Department of State