| Entity Name: | CYPRESS COVE AT HEALTHPARK FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Aug 1995 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Sep 2007 (17 years ago) |
| Document Number: | N95000003683 |
| FEI/EIN Number | 65-0610085 |
| Address: | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL 33908 |
| Mail Address: | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760741599 | 2012-05-14 | 2012-05-14 | 10200 CYPRESS COVE DR, FORT MYERS, FL, 339086690, US | 10200 CYPRESS COVE DR, FORT MYERS, FL, 339086690, US | |||||||||||||||
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| Phone | +1 239-415-5100 |
| Fax | 2394151840 |
Authorized person
| Name | JOEL ANDERSON |
| Role | ADMINISTRATOR |
| Phone | 2394155100 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2549009WEZ211G34UB48 | N95000003683 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
|
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| Legal | c/o Churchill, Troy Harrison, 9800 Healthpark Circle, Suite 310, Fort Myers, US-FL, US, 33908 |
| Headquarters | 10200 Cypress Cove Drive, Fort Myers, US-FL, US, 33908 |
Registration details
| Registration Date | 2020-10-05 |
| Last Update | 2022-03-14 |
| Status | LAPSED |
| Next Renewal | 2021-10-05 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | N95000003683 |
| Name | Role | Address |
|---|---|---|
| CHURCHILL, TROY HARRISON | Agent | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 |
| Name | Role | Address |
|---|---|---|
| McDaniel, Dawson | Secretary | 15050 Cemetary Road, FORT MYERS, FL 33905 |
| Name | Role | Address |
|---|---|---|
| Adams, Daniel | Vice Chairman | 2104 W. First Street, Apt. 2304 Fort Myers, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Edwards, Charles | Chairman | 15831 Turnbridge Court, Fort Myers, FL 33908 |
| Name | Role | Address |
|---|---|---|
| Edwards, Charles | President | 15831 Turnbridge Court, Fort Myers, FL 33908 |
| Name | Role | Address |
|---|---|---|
| Edwards, Charles | Chief Executive Officer | 15831 Turnbridge Court, Fort Myers, FL 33908 |
| Name | Role | Address |
|---|---|---|
| Strayorn, E. Bruce | Director | 2125 First Street, 201 Fort Myers, FL 33901 |
| Cowart, Claudia | Director | 10200 Cypress Cove Drive, Fort Myers, FL 33908 |
| McSharry, Rita | Director | 10100 Cypress Cove Drive, #264 FORT MYERS, FL 33908 |
| Fitzgerald, Dorothy | Director | 13870 Blenheim Trail Road, Fort Myers, FL 33908 |
| Name | Role | Address |
|---|---|---|
| Catti, Joseph | Treasurer | 8695 College Parkway, Fort Myers, FL 33919 |
| Name | Role | Address |
|---|---|---|
| CHURCHILL, TROY H | Owner | 16451 Healthpark Commons Drive, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| CHURCHILL, TROY H | s Representative | 16451 Healthpark Commons Drive, FORT MYERS, FL 33919 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000038082 | THE VINEYARDS AT CYPRESS COVE | ACTIVE | 2024-03-15 | 2029-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G20000015341 | CYPRESS AT HOME | ACTIVE | 2020-02-03 | 2025-12-31 | No data | 9800 S HEALTHPARK DR., STE 310, FT. MYERS, FL, 33908 |
| G20000014762 | THE OAKS AT CYPRESS COVE | ACTIVE | 2020-01-31 | 2025-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G15000104164 | THE COTTAGE AT CYPRESS COVE | ACTIVE | 2015-10-12 | 2025-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G15000102329 | THE LODGE AT CYPRESS COVE | ACTIVE | 2015-10-06 | 2025-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G14000112722 | THE MEMORY CARE RESIDENCES AT CYPRESS COVE | ACTIVE | 2014-11-07 | 2025-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G13000066230 | INN OF CYPRESS COVE AT HEALTH PARK | EXPIRED | 2013-07-01 | 2018-12-31 | No data | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL, 33908 |
| G03023700063 | CYPRESS COVE AT HEALTHPARK FLORIDA | ACTIVE | 2003-01-23 | 2028-12-31 | No data | 9800 S. HEALTHPARK DR., STE. 310, SUITE 310, FORT MYERS, FL, 33919 |
| G03023700064 | CYPRESS COVE | ACTIVE | 2003-01-23 | 2028-12-31 | No data | 9800 S. HEALTHPARK DR., STE. 310, SUITE 310, FORT MYERS, FL, 33919 |
| G99321900254 | THE INN AT CYPRESS COVE | ACTIVE | 1999-11-18 | 2029-12-31 | No data | 10200 CYPRESS COVE DR, FT. MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 16451 Healthpark Commons Drive, FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-20 | CHURCHILL, TROY HARRISON | No data |
| AMENDMENT | 2007-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-02-20 | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2001-02-20 | 10200 CYPRESS COVE DRIVE, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-02-02 |
| AMENDED ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
