| Entity Name: | WILLISTON HEALTH CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WILLISTON HEALTH CARE CENTER, 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: | 16 Dec 2003 (21 years ago) |
| Date of dissolution: | 03 Aug 2009 (16 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Aug 2009 (16 years ago) |
| Document Number: | P03000152312 |
| FEI/EIN Number |
200560531
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 451 SPANISH WELLS COURT, WINTER GARDEN, FL, 34787 |
| Mail Address: | 451 SPANISH WELLS COURT, WINTER GARDEN, FL, 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811932015 | 2006-06-19 | 2020-08-22 | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | 300 NW 1ST AVE, WILLISTON, FL, 326962006, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-528-3561 |
Authorized person
| Name | STEVE STRAWN |
| Role | DIRECTOR |
| Phone | 6152172324 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1381096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | M71 |
| State | FL |
| Issuer | MEDICAID |
| Number | 02678300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARKER SHELBY | Director | 4875 CASON COVE DR, ORLANDO, FL, 32811 |
| PARKER SHELBY | President | 4875 CASON COVE DR, ORLANDO, FL, 32811 |
| PARKER SHELBY | Treasurer | 4875 CASON COVE DR, ORLANDO, FL, 32811 |
| STRAWN STEVE | Director | 52 RILEY RD #301, CELEBRATION, FL, 34747 |
| AYERS JACQUELYN | Secretary | P.O. BOX 11037, MURFREESBORO, TN, 37129 |
| BOYLES WILLIAM A | Agent | 301 E. PINE STREET, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-08-03 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-30 | 451 SPANISH WELLS COURT, WINTER GARDEN, FL 34787 | - |
| CHANGE OF MAILING ADDRESS | 2007-03-30 | 451 SPANISH WELLS COURT, WINTER GARDEN, FL 34787 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2009-08-03 |
| ANNUAL REPORT | 2008-03-25 |
| ANNUAL REPORT | 2007-03-30 |
| ANNUAL REPORT | 2006-01-30 |
| ANNUAL REPORT | 2005-04-13 |
| ANNUAL REPORT | 2004-07-23 |
| Domestic Profit | 2003-12-16 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 310027065 | 0419700 | 2006-08-02 | 300 1ST STREET, WILLISTON, FL, 32696 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 205892656 |
| Safety | Yes |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100133 A01 |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Current Penalty | 825.0 |
| Initial Penalty | 825.0 |
| Nr Instances | 1 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 D03 I |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Nr Instances | 1 |
| Nr Exposed | 105 |
| Related Event Code (REC) | Complaint |
| Gravity | 01 |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19101030 D04 I |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 01 |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-11 |
| Current Penalty | 825.0 |
| Initial Penalty | 825.0 |
| Nr Instances | 1 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101200 F05 I |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Nr Instances | 3 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Citation ID | 01002C |
| Citaton Type | Serious |
| Standard Cited | 19101200 F05 II |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Nr Instances | 4 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Citation ID | 01002D |
| Citaton Type | Serious |
| Standard Cited | 19101200 G08 |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-08-23 |
| Nr Instances | 3 |
| Nr Exposed | 9 |
| Gravity | 01 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040029 A |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Current Penalty | 1000.0 |
| Initial Penalty | 1000.0 |
| Nr Instances | 6 |
| Nr Exposed | 6 |
| Gravity | 00 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19040029 B01 |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Current Penalty | 1000.0 |
| Initial Penalty | 1000.0 |
| Nr Instances | 8 |
| Nr Exposed | 23 |
| Gravity | 00 |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19040029 B03 |
| Issuance Date | 2006-08-18 |
| Abatement Due Date | 2006-09-04 |
| Initial Penalty | 1000.0 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Gravity | 00 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
