| Entity Name: | HOLY CROSS LONG TERM CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 26 Aug 1997 (27 years ago) |
| Document Number: | N97000004836 |
| FEI/EIN Number | 650787320 |
| Address: | 4725 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308 |
| Mail Address: | 4725 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326130410 | 2006-09-28 | 2020-08-22 | 2331 NE 53RD ST, MERCY MANOR NORTH, FT. LAUDERDALE, FL, 33308, US | 2331 NE 53RD ST, FT LAUDERDALE, FL, 333083235, US | |||||||||||||||||||
|
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| Phone | +1 954-771-0739 |
| Fax | 9547711142 |
Authorized person
| Name | MRS. GRETCHEN WARD |
| Role | ADMINISTRATOR |
| Phone | 9547710739 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF13600961 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HOLY CROSS HOSPITAL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TAYLOR PATRICK A | Chief Executive Officer | 4725 N FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| TAYLOR PATRICK A | President | 4725 N FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| WILFORD LINDA V | Trustee | 4725 N FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| WELSH SUSAN R | Chairman | 3333 FIFTH AVENUE, PITTSBURGH, PA, 15213 |
| Name | Role | Address |
|---|---|---|
| WELSH SUSAN R | Treasurer | 3333 FIFTH AVENUE, PITTSBURGH, PA, 15213 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2014-06-27 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2006-12-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2005-04-28 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1998-01-20 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
