| Entity Name: | CENTER FOR AGING AND REHABILITATION OF DAVENPORT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Feb 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Nov 2024 (2 months ago) |
| Document Number: | N21000002636 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | C/O TKP ACCOUNTING, 3550 POWERLINE ROAD, OAKLAND PARK, FL 33309 |
| Address: | 206 W Orange Street, Davenport, FL 33837 |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033701628 | 2021-02-05 | 2021-04-02 | 3550 POWERLINE RD, OAKLAND PARK, FL, 333095917, US | 206 W ORANGE ST, DAVENPORT, FL, 338373118, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-367-4597 |
| Fax | 9543674564 |
| Phone | +1 863-422-4961 |
| Fax | 8634221707 |
Authorized person
| Name | MS. MARY ANNE WOOD |
| Role | MANAGER |
| Phone | 9543674597 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Law Office of Robert P. Kelly | Agent | C/O Law Office of Robert P. Kelly, 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| BROCK, ALAN | Chairman | 12460 CRABAPPLE RD SUITE 202-308, ALPHARETTA, GA 30004 |
| Name | Role | Address |
|---|---|---|
| BARRETT, ALEX | Director | 1100 S. STRATFORD ROAD SUITE 400, WINSTON-SALEM, NC 27104 |
| HOGE, BRETT | Director | 1100 S. STRAFORD ROAD, SUITE 400, WINSTON-SALEM, NC 27104 |
| KELLY, ROBERT | Director | 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| KELLY, ROBERT | Secretary | 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL 33312 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000048336 | DAVENPORT CARE CENTER | ACTIVE | 2021-04-08 | 2026-12-31 | No data | 100 SE 2ND ST, STE 2000, MIAMI, FL, 33131 |
| G21000034347 | DAVENPORT CARE CENTER | ACTIVE | 2021-03-11 | 2026-12-31 | No data | 100 SE 2ND ST, STE 2000, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-12 | 206 W Orange Street, Davenport, FL 33837 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-23 | Law Office of Robert P. Kelly | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-23 | C/O Law Office of Robert P. Kelly, 2699 STIRLING ROAD, SUITE C403B, FT. LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 206 W Orange Street, Davenport, FL 33837 | No data |
| 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 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
