| Entity Name: | VICTORIA HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jun 2001 (24 years ago) |
| Document Number: | P01000061844 |
| FEI/EIN Number | 251897325 |
| Mail Address: | 4714 GETTYSBURG ROAD, LEGAL, MECHANICSBURG, PA, 17055 |
| Address: | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174523815 | 2005-07-22 | 2010-09-02 | 4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA, 170554325, US | 955 NW 3RD ST, MIAMI, FL, 331281274, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 717-972-1100 |
| Fax | 7179759981 |
| Phone | +1 305-416-5737 |
| Fax | 3055458556 |
Authorized person
| Name | MR. MICHAEL E. TARVIN |
| Role | VICE PRESIDENT |
| Phone | 7179721100 |
Taxonomy
| Taxonomy Code | 282E00000X - Long Term Care Hospital |
| License Number | 4469 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS FL |
| Number | 595 |
| State | FL |
| Issuer | VISTA |
| Number | SG071214 |
| State | FL |
| Issuer | MEDICAID |
| Number | 010337300 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 271538 |
| State | FL |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1266965 | 4714 GETTYSBURG RD PO BOX 2034, MECHANICSBURG, PA, 17055 | 4714 GETTYSBURG RD PO BOX 2034, MECHANICSBURG, PA, 17055 | 717 972 1100 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Form type | 424B3 |
| File number | 333-196404-25 |
| Filing date | 2014-06-16 |
| File | View File |
Filings since 2014-06-12
| Form type | EFFECT |
| File number | 333-196404-25 |
| Filing date | 2014-06-12 |
| File | View File |
Filings since 2014-05-30
| Form type | S-4 |
| File number | 333-196404-25 |
| Filing date | 2014-05-30 |
| File | View File |
Filings since 2013-09-03
| Form type | 424B4 |
| File number | 333-190628-59 |
| Filing date | 2013-09-03 |
| File | View File |
Filings since 2013-08-29
| Form type | EFFECT |
| File number | 333-190628-59 |
| Filing date | 2013-08-29 |
| File | View File |
Filings since 2013-08-27
| Form type | CORRESP |
| Filing date | 2013-08-27 |
| File | View File |
Filings since 2013-08-22
| Form type | UPLOAD |
| Filing date | 2013-08-22 |
| File | View File |
Filings since 2013-08-14
| Form type | S-4 |
| File number | 333-190628-59 |
| Filing date | 2013-08-14 |
| File | View File |
Filings since 2005-06-16
| Form type | S-4 |
| File number | 333-125846-55 |
| Filing date | 2005-06-16 |
| File | View File |
Filings since 2003-11-12
| Form type | 424B3 |
| File number | 333-109776-95 |
| Filing date | 2003-11-12 |
| File | View File |
Filings since 2003-11-10
| Form type | S-4/A |
| File number | 333-109776-95 |
| Filing date | 2003-11-10 |
| File | View File |
Filings since 2003-10-17
| Form type | S-4 |
| File number | 333-109776-95 |
| Filing date | 2003-10-17 |
| File | View File |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Mullin Thomas P | President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| TARVIN MICHAEL E | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Veit Joel T | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| DUGGAN JOHN F | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Name | Role | Address |
|---|---|---|
| DUGGAN JOHN F | Assistant Secretary | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000087275 | SELECT SPECIALTY HOSPITAL - MIAMI | ACTIVE | 2017-08-09 | 2027-12-31 | No data | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-07 | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-07 | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055 | No data |
| REGISTERED AGENT NAME CHANGED | 2001-09-25 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-09-25 | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-05-20 |
| ANNUAL REPORT | 2015-05-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
