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CENTER FOR AGING AND REHABILITATION OF DANIA, INC.

Company Details

Entity Name: CENTER FOR AGING AND REHABILITATION OF DANIA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 12 Jul 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Nov 2024 (2 months ago)
Document Number: N21000008397
FEI/EIN Number 87-2013457
Address: 440 Phippen Waiters Road, Dania Beach, FL 33004
Mail Address: C/O TKP Accounting, 3550 Powerline, Fort Lauderdale, FL 33309
ZIP code: 33004
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427710292 2021-10-09 2021-10-09 3550 POWERLINE RD, FORT LAUDERDALE, FL, 333095917, US 440 PHIPPEN WAITERS RD, DANIA BEACH, FL, 330044931, US

Contacts

Phone +1 954-367-4597
Fax 9543674564
Phone +1 954-927-0508

Authorized person

Name MARY ANNE WOOD
Role AUTHORIZED OFFICIAL
Phone 9543674597

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
kelly, robert Agent 2699 Stirling Road, Suite C403B, Ft. Lauderdale, FL 33312

Chairman

Name Role Address
BROCK, ALAN Chairman 12460 CRABAPPLE RD, ALPHARETTA, GA 30004

Director

Name Role Address
BROCK, ALAN Director 12460 CRABAPPLE RD, ALPHARETTA, GA 30004
HOGE, BRETT Director 1100 S STRATFORD ROAD SUITE 400, WINSTON-SALEM, NC 27104
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

Secretary

Name Role Address
kelly, robert Secretary 2699 Stirling Road, Suite C403B, Ft. Lauderdale, FL 33312

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000141275 DANIA POINTE CARE CENTER ACTIVE 2021-10-20 2026-12-31 No data C/O TKP ACCOUNTING, 3550 POWERLINE, FORT LAUDERDALE, FL, 33309

Events

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 2022-09-02 440 Phippen Waiters Road, Dania Beach, FL 33004 No data
REGISTERED AGENT NAME CHANGED 2022-09-02 kelly, robert No data
REGISTERED AGENT ADDRESS CHANGED 2022-09-02 2699 Stirling Road, Suite C403B, Ft. Lauderdale, FL 33312 No data
CHANGE OF MAILING ADDRESS 2022-01-31 440 Phippen Waiters Road, Dania Beach, FL 33004 No data

Documents

Name Date
REINSTATEMENT 2024-11-15
ANNUAL REPORT 2023-04-12
AMENDED ANNUAL REPORT 2022-09-02
ANNUAL REPORT 2022-01-31
Domestic Non-Profit 2021-07-12

Date of last update: 14 Jan 2025

Sources: Florida Department of State