| Entity Name: | THE HEALTH CENTER OF COCONUT CREEK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THE HEALTH CENTER OF COCONUT CREEK, 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: | 15 Aug 2000 (25 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | P00000077142 |
| FEI/EIN Number |
651032121
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457433864 | 2006-10-19 | 2010-02-25 | 4125 W. SAMPLE RD, COCONUT CREEK, FL, 33073, US | 4125 W. SAMPLE RD, COCONUT CREEK, FL, 33073, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-968-8333 |
| Fax | 9549686898 |
Authorized person
| Name | SHAWN P. CORLEY |
| Role | ADMINISTRATOR |
| Phone | 9549688333 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130470979 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022658100 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | L9C |
| Issuer | MEDICAID |
| Number | 02265100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REGSITERED AGENTS INC. | Agent | 7901 4 ST N STE 300, ST PETERSBURG, FL, 33702 |
| STRAWN STEVE | Director | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| STRAWN STEVE | President | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| STRAWN STEVE | Treasurer | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| STRAWN STEVE | Secretary | 1784 W NORTHFIELD BLVD, MURFREESBORO, TN, 37129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-17 | REGSITERED AGENTS INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-17 | 7901 4 ST N STE 300, ST PETERSBURG, FL 33702 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-09 | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN 37129 | - |
| CHANGE OF MAILING ADDRESS | 2016-01-09 | 1784 W NORTHFIELD BLVD, #347, MURFREESBORO, TN 37129 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-18 |
| Reg. Agent Change | 2019-04-17 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-04-08 |
| 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 Apr 2025
Sources: Florida Department of State
