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CENTER FOR AGING AND REHABILITATION OF DAVENPORT, INC. - Florida Company Profile

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Company Details

Entity Name: CENTER FOR AGING AND REHABILITATION OF DAVENPORT, 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: 03 Feb 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Nov 2024 (7 months ago)
Document Number: N21000002636
FEI/EIN Number APPLIED FOR

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: C/O TKP ACCOUNTING, 3550 POWERLINE ROAD, OAKLAND PARK, FL, 33309, US
Address: 206 W Orange Street, Davenport, FL, 33837, US
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOGE BRETT Director 1100 S. STRAFORD ROAD, SUITE 400, WINSTON-SALEM, NC, 27104
KELLY ROBERT Secretary 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL, 33312
BROCK ALAN Chairman 12460 CRABAPPLE RD SUITE 202-308, ALPHARETTA, GA, 30004
BARRETT ALEX Director 1100 S. STRATFORD ROAD SUITE 400, WINSTON-SALEM, NC, 27104
KELLY ROBERT Director 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL, 33312
Law Office of Robert P. Kelly Agent C/O Law Office of Robert P. Kelly, FT. LAUDERDALE, FL, 33312

National Provider Identifier

NPI Number:
1033701628
Certification Date:
2021-04-02

Authorized Person:

Name:
MS. MARY ANNE WOOD
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
9543674564
Fax:
8634221707

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000048336 DAVENPORT CARE CENTER ACTIVE 2021-04-08 2026-12-31 - 100 SE 2ND ST, STE 2000, MIAMI, FL, 33131
G21000034347 DAVENPORT CARE CENTER ACTIVE 2021-03-11 2026-12-31 - 100 SE 2ND ST, STE 2000, MIAMI, FL, 33131

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-11-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2023-04-12 206 W Orange Street, Davenport, FL 33837 -
REGISTERED AGENT NAME CHANGED 2022-08-23 Law Office of Robert P. Kelly -
REGISTERED AGENT ADDRESS CHANGED 2022-08-23 C/O Law Office of Robert P. Kelly, 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL 33312 -
CHANGE OF MAILING ADDRESS 2022-02-01 206 W Orange Street, Davenport, FL 33837 -

Documents

Name Date
REINSTATEMENT 2024-11-15
ANNUAL REPORT 2023-04-12
AMENDED ANNUAL REPORT 2022-08-23
ANNUAL REPORT 2022-02-01
Domestic Non-Profit 2021-02-03

Tax Exempt

Employer Identification Number (EIN) :
86-1790889
In Care Of Name:
% RAMSEY VILLALON
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2023-03
National Taxonomy Of Exempt Entities:
Health Care: Nursing, Convalescent Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 02 Jun 2025

Sources: Florida Department of State