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  5. OHI WEST, INC

OHI WEST, INC

Company Details

Entity Name: OHI WEST, INC
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 14 Feb 2020 (5 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Dec 2021 (3 years ago)
Document Number: N20000002628
FEI/EIN Number 84-5074208
Address: 1414 KUHL AVENUE, MP 2, ORLANDO, FL 32806
Mail Address: 1414 KUHL AVENUE, MP 2, ORLANDO, FL 32806
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427671098 2020-05-18 2021-01-26 701 6TH ST S, ST PETERSBURG, FL, 337014814, US 701 6TH ST S, ST PETERSBURG, FL, 337014814, US

Contacts
Phone +1 727-823-1234
Fax 7278936930

Authorized person
Name MICHAEL STUBEE
Role AVP
Phone 4074817156

Taxonomy
Taxonomy Code 275N00000X - Medicare Defined Swing Bed Hospital Unit
Is Primary Yes

Agent

Name Role Address
ZIKA, RYAN, ESQ. Agent 207 W. Gore St., Suite 201, ORLANDO, FL 32806

Director

Name Role Address
Beam, Mildred Director 1414 KUHL AVE. MP2, ORLANDO, FL 32806
Mattis, Novlet Director 1414 KUHL AVE MP2, ORLANDO, FL 32806
Hakim, MD, Jamal Director 1414 KUHL AVENUE, MP 2, ORLANDO, FL 32806
MOORE -JOHN- INC Director No data

Authorized Representative

Name Role Address
TAYLOR, MATTHEW Authorized Representative 1414 KUHL AVE MP2, ORLANDO, FL 32806
MILLER, JOHN Authorized Representative 1414 KUHL AVE MP2, ORLANDO, FL 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000001222 ORLANDO HEALTH SLEEP CENTER ACTIVE 2025-01-03 2030-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000106297 ORLANDO HEALTH NEUROSCIENCE INSTITUTE ACTIVE 2024-08-30 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000084215 ORLANDO HEALTH CHILD DEVELOPMENT CENTER ACTIVE 2024-07-15 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000068974 ORLANDO HEALTH BAYFRONT HOSPITAL INPATIENT REHABILITATION ACTIVE 2024-05-29 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000067422 ORLANDO HEALTH WOMEN'S PAVILION ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000067413 ORLANDO HEALTH BAYFRONT HOSPITAL EMERGENCY ROOM ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000067420 ORLANDO HEALTH BAYFRONT HOSPITAL CARDIAC CATH LAB ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000068330 ORLANDO HEALTH BAYFRONT HOSPITAL REHABILITATION ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000067426 ORLANDO HEALTH BAYFRONT CHILD DEVELOPMENT CENTER ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806
G24000067424 ORLANDO HEALTH ACTIVE 2024-05-28 2029-12-31 No data 1414 KUHL AVE., MP 2, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-26 207 W. Gore St., Suite 201, ORLANDO, FL 32806 No data
AMENDMENT 2021-12-16 No data No data
AMENDMENT 2020-07-20 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
AMENDED ANNUAL REPORT 2024-07-12
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-26
Amendment 2021-12-16
ANNUAL REPORT 2021-03-23
Amendment 2020-07-20
Domestic Non-Profit 2020-02-14

Related by officers

ZIKA, RYAN, ESQ.

OHI WEST MEDICAL GROUP, INC. OHI WEST MEDICAL GROUP II, LLC OHI WIREGRASS RANCH, INC.

TAYLOR, MATTHEW

GOLDEN IMAGE TANNING & SMOOTHIES LLC TALLYHO HOLDINGS, LLC FLAGLER REVOLUTION GIRLS FASTPITCH SOFTBALL INC. WESTSIDE BUILDERS L.L.C. TAYLOR BUILT HOMES, INC. IMAGENET CONSULTING OF THE TREASURE COAST, LLC BREAKTHROUGH SURFACE PREP AND BLASTING LLC EVOLVE LLC EVERYTHING TAYLOR'D LLC ALL PRO POWER SOURCE LLC

MILLER, JOHN

SANTA ROSA HOME REPAIR LLC. CAR BEAR LLC DAVIS & MILLER ASSOCIATES,INC GLASS BOTTOM ADVENTURERS LLC FREDCOSALES INC JOHN R. MILLER LLC COVE HOUSE LLC TITAN GLOBAL OF SOUTH FLORIDA LLC HM FILMS LLC HM DIGITAL LLC

Hakim, MD, Jamal

ORLANDO HEALTH/USP SURGERY CENTERS, L.L.C. JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC

Related by address

1414 KUHL AVENUE, MP 2, ORLANDO, FL 32806

COLLABORATIVE CARE OF FLORIDA, LLC ORLANDO HEALTH VENTURES MANAGEMENT COMPANY, LLC OHI WEST MEDICAL GROUP, INC. OHI WIREGRASS RANCH, INC.

1414 KUHL AVENUE, MP 2, ORLANDO, FL 32806

COLLABORATIVE CARE OF FLORIDA, LLC ORLANDO HEALTH VENTURES MANAGEMENT COMPANY, LLC OHI WEST MEDICAL GROUP, INC. OHI WIREGRASS RANCH, INC.

Date of last update: 16 Jan 2025

Sources: Florida Department of State

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