Entity Name: | ADVENTHEALTH SENIOR CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 16 Apr 2019 (6 years ago) |
Last Event: | AMENDMENT AND NAME CHANGE |
Event Date Filed: | 24 Sep 2020 (4 years ago) |
Document Number: | N20000004225 |
FEI/EIN Number |
84-1817046
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US |
Mail Address: | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US |
ZIP code: | 32714 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336756204 | 2020-09-25 | 2023-07-07 | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 327141502, US | 1030 W CANTON AVE STE G100, WINTER PARK, FL, 327893050, US | |||||||||||||||||||||||||
|
Phone | +1 407-901-4086 |
Authorized person
Name | MR. BRYAN STILTZ |
Role | PRESIDENT |
Phone | 4073572570 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 363AM0700X - Medical Physician Assistant |
Is Primary | No |
Name | Role | Address |
---|---|---|
Stiltz Bryan | Chairman | 900 Hope Way, Altamonte Springs, FL, 32714 |
Block Mark | Director | 900 Hope Way, Altamonte Springs, FL, 32714 |
West Brandi | Director | 900 Hope Way, Altamonte Springs, FL, 32714 |
Niewald Andy | Director | 900 Hope Way, Altamonte Springs, FL, 32714 |
Eisenhut Josh MD | Director | 900 Hope Way, Altamonte Springs, FL, 32714 |
Gray Kris MD | Director | 900 Hope Way, Altamonte Springs, FL, 32714 |
BROMME JEFFREY S | Agent | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000103404 | ADVENTHEALTH WELL 65+ OVIEDO | ACTIVE | 2024-08-29 | 2029-12-31 | - | 1665 W BROADWAY ST., SUITE 1021, OVIEDO, FL, 32765 |
G24000079494 | ADVENTHEALTH WELL 65+ CELEBRATION | ACTIVE | 2024-07-01 | 2029-12-31 | - | 1663 FUTURE WAY, CELEBRATION, FL, 34747-4490 |
G24000069231 | ADVENTHEALTH WELL 65+ CLEARWATER | ACTIVE | 2024-06-03 | 2029-12-31 | - | 2655 STATE ROAD 580, SUITE 202, CLEARWATER, FL, 33761-3167 |
G23000063711 | ADVENTHEALTH WELL 65+ WINTER GARDEN | ACTIVE | 2023-05-22 | 2028-12-31 | - | 12323 WEST COLONIAL DRIVE, SUITE 140, WINTER GARDEN, FL, 34787 |
G23000049722 | ADVENTHEALTH WELL 65+ SANFORD | ACTIVE | 2023-04-19 | 2028-12-31 | - | 2690 S ORLANDO DRIVE, SANFORD, FL, 32771 |
G23000023633 | ADVENTHEALTH WELL 65+ SANFORD | ACTIVE | 2023-02-20 | 2028-12-31 | - | 401 TOWNE CENTER BLVD, SANFORD, FL, 32771 |
G22000161109 | ADVENTHEALTH WELL 65+ ZEPHYRHILLS | ACTIVE | 2022-12-29 | 2027-12-31 | - | 12880 US HIGHWAY 301, DADE CITY, FL, 33525 |
G22000157667 | ADVENTHEALTH WELL 65+ DAYTONA BEACH | ACTIVE | 2022-12-21 | 2027-12-31 | - | 1595 NORTH WILLIAMSON BLVD, DAYTONA BEACH, FL, 32117 |
G22000155928 | ADVENTHEALTH WELL 65+ ZEPHYRHILLS | ACTIVE | 2022-12-19 | 2027-12-31 | - | 7866 GALL BLVD, ZEPHYRHILLS, FL, 33541 |
G22000051124 | ADVENTHEALTH WELL 65+ TAMPA | ACTIVE | 2022-04-22 | 2027-12-31 | - | 12400 N DALE MABRY HWY, TAMPA, FL, 33618 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2020-12-11 | BROMME, JEFFREY S | - |
AMENDMENT AND NAME CHANGE | 2020-09-24 | ADVENTHEALTH SENIOR CARE, INC. | - |
AMENDMENT | 2020-04-21 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-14 |
ANNUAL REPORT | 2024-04-24 |
AMENDED ANNUAL REPORT | 2023-02-09 |
ANNUAL REPORT | 2023-01-12 |
ANNUAL REPORT | 2022-04-21 |
ANNUAL REPORT | 2021-04-24 |
Reg. Agent Change | 2020-12-11 |
AMENDED ANNUAL REPORT | 2020-09-24 |
Amendment and Name Change | 2020-09-24 |
ANNUAL REPORT | 2020-04-22 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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84-1817046 | Association | Unconditional Exemption | 900 HOPE WAY, ALTAMONTE SPG, FL, 32714-1502 | 1947-04 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Organization Name | ADVENTHEALTH SENIOR CARE INC |
EIN | 84-1817046 |
Tax Period | 202212 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | ADVENTHEALTH SENIOR CARE INC |
EIN | 84-1817046 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | ADVENTHEALTH OSCEOLA SOUTH INC |
EIN | 84-1817046 |
Tax Period | 201912 |
Filing Type | P |
Return Type | 990EZ |
File | View File |
Date of last update: 02 Mar 2025
Sources: Florida Department of State