| Entity Name: | PHC - BLOUNTSTOWN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PHC - BLOUNTSTOWN, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Aug 2000 (25 years ago) |
| Date of dissolution: | 16 Mar 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Mar 2015 (10 years ago) |
| Document Number: | P00000074441 |
| FEI/EIN Number |
593670300
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 909 GARDENGATE CIR., PENSACOLA, FL, 32504 |
| Mail Address: | 909 GARDENGATE CIRCLE, PENSACOLA, FL, 32504 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972594729 | 2005-11-01 | 2008-06-17 | 909 GARDEN GATE CIR, PENSACOLA, FL, 325048629, US | 17884 NE CROZIER ST, BLOUNTSTOWN, FL, 324241050, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-682-5322 |
| Fax | 8506892510 |
| Phone | +1 850-674-5464 |
| Fax | 8506749384 |
Authorized person
| Name | MRS. CATHERINE A ATES |
| Role | PRESIDENT, CHIEF OPERATING OFFICER |
| Phone | 8506825322 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF12870961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025109700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ATES CATHERINE A | President | 909 GARDENGATE CIRLCE, PENSACOLA, FL, 32504 |
| ELLIS GREGORY A | Secretary | 909 GARDENGATE CIRCLE, PENSACOLA, FL, 32504 |
| HOFFMAN LINDA A | Agent | 801 W. ROMANANA STREET, PENSACOLA, FL, 32502 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-16 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-12-30 | 909 GARDENGATE CIR., PENSACOLA, FL 32504 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-09-15 | 801 W. ROMANANA STREET, SUITE A, PENSACOLA, FL 32502 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-03-16 |
| ANNUAL REPORT | 2014-02-24 |
| ANNUAL REPORT | 2013-03-20 |
| ANNUAL REPORT | 2012-01-19 |
| ANNUAL REPORT | 2011-02-09 |
| AC | 2010-12-30 |
| Reg. Agent Change | 2010-09-15 |
| ANNUAL REPORT | 2010-01-19 |
| ANNUAL REPORT | 2009-01-29 |
| ANNUAL REPORT | 2008-01-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
