| Entity Name: | GENESIS HEALTHCARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Apr 2005 (20 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P05000053232 |
| Address: | 589 AVENUE K SE, WINTER HAVEN, FL, 33880 |
| Mail Address: | 589 AVENUE K SE, WINTER HAVEN, FL, 33880 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871859561 | 2012-04-06 | 2012-04-06 | 101 E. STATE STREET, KENNETT SQUARE, PA, 19348, US | 4617 SOUTHPORT BAY DR, KISSIMMEE, FL, 34759, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Fax | 4848136530 |
| Phone | +1 407-403-2316 |
Authorized person
| Name | MRS. JULIE A DAPHNIS |
| Role | OCCUPATIONAL THERAPIST ASSISTANCE |
| Phone | 4074032316 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | OAT10257 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUMBERSON JAMES C | Agent | 589 AVENUE K SE, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| LUMBERSON JAMES C | President | 289 HERNANDO AVE, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| LUMBERSON SHARI | Chief Executive Officer | 289 HERNANDO AVE, WINTER HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2005-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
