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TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.

Company Details

Entity Name: TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Inactive
Date Filed: 30 Oct 2014 (10 years ago)
Date of dissolution: 07 Aug 2024 (6 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Aug 2024 (6 months ago)
Document Number: N14000010091
FEI/EIN Number 47-2219363
Address: 1290 Celebration Blvd., Kissimmee, FL 34747
Mail Address: 485 N. KELLER ROAD, SUITE 250, MAITLAND, FL 32751
ZIP code: 34747
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437644952 2018-06-27 2023-11-27 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 327141502, US 1290 CELEBRATION BLVD, KISSIMMEE, FL, 34747, US

Contacts

Phone +1 407-975-3000
Fax 4079753090
Phone +1 321-337-7400

Authorized person

Name DAVID RODMAN
Role ASST. SECRETARY OF THE BOARD
Phone 4079753011

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
BROMME, JEFFREY S Agent 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714

President

Name Role Address
BOYCE, KEITH President 485 N. Keller Road, Suite 250 Maitland, FL 32751

Director

Name Role Address
BOYCE, KEITH Director 485 N. Keller Road, Suite 250 Maitland, FL 32751
Stiltz, Bryan Director 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714
MCDONALD, RAYMOND A Director 485 N. Keller Road, Suite 250 Maitland, FL 32751
Beaulieu, Timothy Director 10605 Boca Pointe Drive, Orlando, FL 32836
Thompson, Michael Director 550 E. Rollins Street, Orlando, FL 32803
Pettijohn, Kelly Director 900 Hope Way, Altamonte Springs, FL 32714
Young, Anita Director 485 N. Keller Road, Suite 250 Maitland, FL 32751

Assistant Secretary

Name Role Address
BOYCE, KEITH Assistant Secretary 485 N. Keller Road, Suite 250 Maitland, FL 32751
Addiscott, Lynn Assistant Secretary 900 Hope Way, Altamonte Springs, FL 32714
Hinds, Nigel Assistant Secretary 485 N. Keller Road, Suite 250 Maitland, FL 32751
Huffman, David L Assistant Secretary 485 N. Keller Rd, Suite 250 Maitland, FL 32751

Chairman

Name Role Address
Stiltz, Bryan Chairman 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714

Asst. Secretary

Name Role Address
RATHBUN, PAUL Asst. Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714
Vincent, Haney Asst. Secretary 900 Hope Way, Altamonte Springs, FL 32714
Rodman, David Asst. Secretary 602 Courtland Street, Suite 200 Orlanod, FL 32714
Saunders, Michael Asst. Secretary 900 Hope Way, Altamonte Springs, FL 32714
Pettijohn, Kelly Asst. Secretary 900 Hope Way, Altamonte Springs, FL 32714

Assist. Secretary

Name Role Address
Graff, Jeff Assist. Secretary 900 Hope Way, Altamonte Springs, FL 32714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000104450 ADVENTHEALTH CARE CENTER CELEBRATION ACTIVE 2018-09-22 2028-12-31 No data 1290 CELEBRATION AVENUE, KISSIMMEE, FL, 34747
G18000095453 ADVENTHEALTH TRANSITIONAL CARE CELEBRATION EXPIRED 2018-08-27 2023-12-31 No data 1290 CELEBRATION AVENUE, KISSIMMEE, FL, 34747

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-08-07 No data No data
REGISTERED AGENT NAME CHANGED 2020-12-11 BROMME, JEFFREY S No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-01 1290 Celebration Blvd., Kissimmee, FL 34747 No data
CHANGE OF MAILING ADDRESS 2015-12-04 1290 Celebration Blvd., Kissimmee, FL 34747 No data

Documents

Name Date
Voluntary Dissolution 2024-08-07
ANNUAL REPORT 2024-04-26
AMENDED ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-27
Reg. Agent Change 2020-12-11
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-04-23
AMENDED ANNUAL REPORT 2018-08-01

Date of last update: 21 Jan 2025

Sources: Florida Department of State