| Entity Name: | COASTAL NURSECARE OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL NURSECARE OF FLORIDA, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Aug 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Nov 2017 (7 years ago) |
| Document Number: | P01000082401 |
| FEI/EIN Number |
593739723
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2300 Warrenville Rd Suite 100, Downers Grove, IL, 60515, US |
| Mail Address: | 2300 Warrenville Rd Suite 100, Downers Grove, IL, 60515, US |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | COASTAL NURSECARE OF FLORIDA, INC., ALABAMA | 000-920-374 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407841729 | 2005-09-13 | 2023-04-10 | 2160 CREIGHTON ROAD, PENSACOLA, FL, 32504, US | 2160 CREIGHTON RD, PENSACOLA, FL, 325047218, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-475-9000 |
| Fax | 8504759330 |
Authorized person
| Name | DARBY ANDERSON |
| Role | EVP CGRO |
| Phone | 6302963443 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991520 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 684119896 |
| State | FL |
| Issuer | MEDICAID |
| Number | 685500800 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | JP4 |
| State | FL |
| Issuer | MEDICAID |
| Number | 650996700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Allison Dirk | President | 6303 Cowboys Way Suite 600, Frisco, TX, 75034 |
| POFF BRIAN | Secretary | 6303 COWBOYS WAY SUITE 600, FRISCO, TX, 75034 |
| Monahan Brian | Vice President | 6303 Cowboys Way Suite 600, Frisco, TX, 75034 |
| Monahan Brian | o | 6303 Cowboys Way Suite 600, Frisco, TX, 75034 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000020767 | ADDUS HOMECARE | ACTIVE | 2023-02-13 | 2028-12-31 | - | 2300 WARRENVILLE RD., STE 100, DOWNERS GROVE, DE, 60515 |
| G19000084199 | CARESTAFF | EXPIRED | 2019-08-08 | 2024-12-31 | - | 442 MIMOSA DR., ST. SIMONS, GA, 31522 |
| G13000066790 | CARESTAFF | EXPIRED | 2013-07-02 | 2018-12-31 | - | 2160 CREIGHTON RD., PENSACOLA, FL, 32504-7218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-07 | 2300 Warrenville Rd Suite 100, Downers Grove, IL 60515 | - |
| CHANGE OF MAILING ADDRESS | 2023-02-07 | 2300 Warrenville Rd Suite 100, Downers Grove, IL 60515 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-03 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| REGISTERED AGENT NAME CHANGED | 2023-01-03 | CORPORATION SERVICE COMPANY | - |
| REINSTATEMENT | 2017-11-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| MERGER | 2014-12-01 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 100000147091 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-07 |
| Reg. Agent Change | 2023-01-03 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-20 |
| AMENDED ANNUAL REPORT | 2019-06-03 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| REINSTATEMENT | 2017-11-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5211137306 | 2020-04-30 | 0491 | PPP | 2160 Creighton Rd., Pensacola, FL, 32504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
