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HEALTHPARK CARE CENTER, INC. - Florida Company Profile

Company Details

Entity Name: HEALTHPARK CARE CENTER, 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: 31 Jul 1991 (34 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 30 Oct 2024 (6 months ago)
Document Number: N44499
FEI/EIN Number 650319983

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

Address: 16131 ROSERUSH COURT, FT MYERS, FL, 33908, US
Mail Address: 2776 CLEVELAND AVENUE, LEGAL MOC 459, FT MYERS, FL, 33901, US
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699786061 2006-08-11 2015-08-26 16131 ROSERUSH CT, FORT MYERS, FL, 339083634, US 16131 ROSERUSH CT, FORT MYERS, FL, 339083634, US

Contacts

Phone +1 239-433-4647
Fax 2394323456

Authorized person

Name MR. TROY CHURCHILL
Role ADMINISTRATOR
Phone 2393437300

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF1202096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 021058700
State FL

Key Officers & Management

Name Role Address
KLEIN DAVID Vice Chairman 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901
ALLEN DANE Secretary 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901
CLARKE DONNA Chairman 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901
COLLINS DAVID Treasurer 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901
MCGILLICUDDY MARY Agent 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G92273000185 HEALTHPARK CARE CENTER ACTIVE 1992-09-29 2027-12-31 - 16131 ROSERUSH COURT, FORT MYERS, FL, 33908, US

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-10-30 - -
REGISTERED AGENT ADDRESS CHANGED 2024-10-30 2776 CLEVELAND AVENUE, FORT MYERS, FL 33901 -
REGISTERED AGENT NAME CHANGED 2024-10-30 MCGILLICUDDY, MARY -
CHANGE OF MAILING ADDRESS 2009-02-12 16131 ROSERUSH COURT, FT MYERS, FL 33908 -
AMENDMENT 2002-09-20 - -
CHANGE OF PRINCIPAL ADDRESS 1993-06-08 16131 ROSERUSH COURT, FT MYERS, FL 33908 -
AMENDMENT 1992-09-17 - -
NAME CHANGE AMENDMENT 1991-11-20 HEALTHPARK CARE CENTER, INC. -

Documents

Name Date
Amended and Restated Articles 2024-10-30
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-11
Reg. Agent Change 2019-12-23
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-02-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0319983 Corporation Unconditional Exemption 16131 ROSERUSH CT, FT MYERS, FL, 33908-3634 1994-03
In Care of Name % ADMINISTRATOR
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period -
Asset 5,000,000 to 9,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 - Not required to file (instrumentalities of states or political subdivisions)
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 03 Apr 2025

Sources: Florida Department of State