| Entity Name: | OCALA HEALTHCARE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 20 Nov 1984 (40 years ago) |
| Document Number: | P04118 |
| FEI/EIN Number | 581580282 |
| Address: | 220 GRAPEVINE RUN, ATLANTA, GA, 30350, US |
| Mail Address: | 220 GRAPEVINE RUN, ATLANTA, GA, 30350, US |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740283563 | 2005-05-24 | 2015-10-06 | 9848 SW 110TH ST, OCALA, FL, 344817651, US | 9848 SW 110TH ST, OCALA, FL, 344817651, US | |||||||||||||||||||||||||
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| Phone | +1 352-291-7253 |
| Fax | 3522917239 |
Authorized person
| Name | MRS. DONNA MARKO |
| Role | FINANCIAL DIRECTOR |
| Phone | 3522917253 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1560096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020333500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| harden angela | Agent | 9598 SW Hwy 200, OCALA, FL, 34481 |
| Name | Role | Address |
|---|---|---|
| PORTER WINSTON A | President | 220 GRAPEVINE RUN, ATLANTA, GA, 30350 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-30 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-10-05 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 1990-02-23 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1986-11-14 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
