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ADVENTHEALTH SENIOR CARE, INC. - Florida Company Profile

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Company Details

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 (5 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

Key Officers & Management

Name Role Address
Block Mark 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
Stiltz Bryan 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

National Provider Identifier

NPI Number:
1336756204
Certification Date:
2023-07-07

Authorized Person:

Name:
MR. BRYAN STILTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

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

Events

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 - -

Documents

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

Tax Exempt

Employer Identification Number (EIN) :
84-1817046
Classification:
Religious Organization
Ruling Date:
1947-04

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Date of last update: 02 Jun 2025

Sources: Florida Department of State