| Entity Name: | MOOSEHAVEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 14 Sep 1994 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Aug 2020 (4 years ago) |
| Document Number: | N94000004509 |
| FEI/EIN Number | 593268779 |
| Address: | 1701 PARK AVE., ORANGE PARK, FL, 32073 |
| Mail Address: | 1701 PARK AVE., ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831311398 | 2007-05-03 | 2008-06-12 | 1701 PARK AVENUE, ORANGE PARK, FL, 32073, US | 1701 PARK AVENUE, ORANGE PARK, FL, 32073, US | |||||||||||||||||||
|
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| Phone | +1 904-278-1212 |
| Fax | 9042781294 |
Authorized person
| Name | MR. JOHN CAPES |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9042781212 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | EXEMPT |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| MECH JOSEPH R | Director | 425 Ellen Lane, Batavia, IL, 60510 |
| Hammond Rodney | Director | 2936 Oaktree Drive, Kissimmee, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| MECH JOSEPH R | Secretary | 425 Ellen Lane, Batavia, IL, 60510 |
| Name | Role | Address |
|---|---|---|
| MECH JOSEPH R | Treasurer | 425 Ellen Lane, Batavia, IL, 60510 |
| Name | Role | Address |
|---|---|---|
| TAYLOR HELEN P | Vice President | 1522 RIVER ROAD, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Hammond Rodney | President | 2936 Oaktree Drive, Kissimmee, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-08-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-10-15 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-15 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-05-12 |
| ANNUAL REPORT | 2021-05-03 |
| Amendment | 2020-08-27 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-06-12 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
