| Entity Name: | MERRITT ISLAND RHF HOUSING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 14 Jul 1986 (39 years ago) |
| Document Number: | N15853 |
| FEI/EIN Number | 59-2721378 |
| Address: | 911 N. Studebaker Rd., Long Beach, CA, 90815, US |
| Mail Address: | 911 N. Studebaker Rd., Long Beach, CA, 90815, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245237270 | 2005-07-05 | 2009-01-21 | 1100 S COURTENAY PKWY, MERRITT ISLAND, FL, 329523804, US | 1100 S COURTENAY PKWY, MERRITT ISLAND, FL, 329523804, US | |||||||||||||||||||||||||
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| Phone | +1 321-452-1233 |
| Fax | 3214527068 |
Authorized person
| Name | STUART HARTMAN |
| Role | VP OF OPERATIONS |
| Phone | 5622575100 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF11070961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020932500 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Hartman Stuart | President | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Name | Role | Address |
|---|---|---|
| Buchan Laura F | Secretary | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Name | Role | Address |
|---|---|---|
| Bauman John | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| East Raymond G | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Moyer David S | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Hart Donald G | Director | 911 N. Studebaker Rd., Long Beach, CA, 90815 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000026272 | COURTENAY OAKS | EXPIRED | 2014-03-17 | 2019-12-31 | No data | 911 N. STUDEBAKER ROAD, LONG BEACH, CA, 90815 |
| G14000026271 | COURTENAY SPRINGS VILLAGE | EXPIRED | 2014-03-14 | 2024-12-31 | No data | 911 N. STUDEBAKER ROAD, LONG BEACH, CA, 90815 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
