| Entity Name: | THE HEALTH CENTER OF MERRITT ISLAND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Aug 2000 (24 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P00000077141 |
| FEI/EIN Number | 593664424 |
| Address: | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN, 37129, US |
| Mail Address: | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN, 37129, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124028063 | 2005-07-21 | 2010-02-01 | 500 CROCKETT BLVD, MERRITT ISLAND, FL, 329535034, US | 500 CROCKETT BLVD, MERRITT ISLAND, FL, 329535034, US | |||||||||||||||||||||||||
|
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| Phone | +1 321-454-4035 |
| Fax | 3214530280 |
Authorized person
| Name | MRS. LESLIE FRASHER WILLIAMS |
| Role | PRESIDENT |
| Phone | 3214544035 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1365096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022670000 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Director | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | President | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Treasurer | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Secretary | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-17 | REGISTERED AGENTS INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-17 | 7901 4TH STREET N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-09 | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN 37129 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-09 | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN 37129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| Reg. Agent Change | 2019-04-17 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-01-09 |
| ANNUAL REPORT | 2015-01-08 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-02-20 |
| ANNUAL REPORT | 2012-02-14 |
| ANNUAL REPORT | 2011-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
