| Entity Name: | THE HEALTH CENTER OF DAYTONA BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Aug 2000 (24 years ago) |
| Date of dissolution: | 12 Dec 2016 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2016 (8 years ago) |
| Document Number: | P00000077171 |
| FEI/EIN Number | 593664429 |
| 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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659364438 | 2005-08-26 | 2008-07-09 | 550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL, 321141494, US | 550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL, 321141494, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 386-257-6362 |
| Fax | 3862571783 |
Authorized person
| Name | MR. ROSS A. BAIRD |
| Role | ADMINISTRATOR/OWNER |
| Phone | 3862576362 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF 1645096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS PROVIDER # |
| Number | L5U |
| State | FL |
| Issuer | MEDICAID |
| Number | 022909100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Director | 52 RILEY ROAD #381, CELEBRATION, FL, 34747 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | President | 52 RILEY ROAD #381, CELEBRATION, FL, 34747 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Treasurer | 52 RILEY ROAD #381, CELEBRATION, FL, 34747 |
| Name | Role | Address |
|---|---|---|
| STRAWN STEVE | Secretary | 52 RILEY ROAD #381, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-12-12 | No data | 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 |
| REGISTERED AGENT NAME CHANGED | 2002-02-01 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-01 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2016-12-12 |
| 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 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-02-06 |
| ANNUAL REPORT | 2008-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
