| Entity Name: | EAST ORLANDO HEALTH & REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Oct 2006 (18 years ago) |
| Date of dissolution: | 15 Oct 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Oct 2024 (3 months ago) |
| Document Number: | N06000011212 |
| FEI/EIN Number | 20-5774748 |
| Address: | 250 S. CHICKASAW TRAIL, ORLANDO, FL 32825 |
| Mail Address: | 250 S. CHICKASAW TRAIL, ORLANDO, FL 32825 |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740295567 | 2006-07-30 | 2023-11-27 | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 327141502, US | 250 S CHICKASAW TRL, ORLANDO, FL, 328253503, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 407-975-3000 |
| Fax | 4079753090 |
| Phone | +1 407-380-3466 |
| Fax | 4073801216 |
Authorized person
| Name | MR. DAVID RODMAN |
| Role | ASST SECRETARY |
| Phone | 4079753011 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15290961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032042100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 020626100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROMME, JEFF | Agent | 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| RATHBUN, PAUL C | Assistant Secretary | 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714 |
| RODMAN, DAVID | Assistant Secretary | 485 N. Keller Road, Suite 250 Maitland, FL 32751 |
| Graff, Jeffrey | Assistant Secretary | 900 Hope Way, Altamonte Springs, FL 32714 |
| Name | Role | Address |
|---|---|---|
| RODMAN, DAVID | President | 485 N. Keller Road, Suite 250 Maitland, FL 32751 |
| Name | Role | Address |
|---|---|---|
| RODMAN, DAVID | Director | 485 N. Keller Road, Suite 250 Maitland, FL 32751 |
| Pettijohn, Kelly | Director | 900 Hope Way, Altamonte Springs, FL 32714 |
| Stiltz, Bryan | Director | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Name | Role | Address |
|---|---|---|
| Addiscott, Lynn | Asst. Secretary | 900 Hope Way, Altamonte Springs, FL 32714 |
| Saunders, Michael | Asst. Secretary | 900 Hope Way, Altamonte Springs, FL 32714 |
| Pettijohn, Kelly | Asst. Secretary | 900 Hope Way, Altamonte Springs, FL 32714 |
| Stiltz, Bryan | Asst. Secretary | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Graff, Jeffrey | Asst. Secretary | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Huffman, David | Asst. Secretary | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Vincent, Haney | Asst. Secretary | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Name | Role | Address |
|---|---|---|
| Stiltz, Bryan | Chairman | 485 N. Keller Road Suite 250, Maitland, FL 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000104359 | ADVENTHEALTH CARE CENTER ORLANDO EAST | ACTIVE | 2018-09-21 | 2028-12-31 | No data | 250 S CHICKASAW TRIAL, ORLANDO, FL, 32825 |
| G18000095458 | ADVENTHEALTH TRANSITIONAL CARE ORLANDO EAST | EXPIRED | 2018-08-27 | 2023-12-31 | No data | 250 SOUTH CHICKASAW TRAIL, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-10-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-20 | 250 S. CHICKASAW TRAIL, ORLANDO, FL 32825 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-22 | 250 S. CHICKASAW TRAIL, ORLANDO, FL 32825 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-12-16 | 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-26 | BROMME, JEFF | No data |
| NAME CHANGE AMENDMENT | 2007-01-11 | EAST ORLANDO HEALTH & REHAB CENTER, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-10-15 |
| ANNUAL REPORT | 2024-04-30 |
| AMENDED ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-18 |
| AMENDED ANNUAL REPORT | 2018-12-13 |
| AMENDED ANNUAL REPORT | 2018-07-31 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
