| Entity Name: | WILLOW BAY HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WILLOW BAY HEALTH 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: | 17 Jan 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Jul 2023 (2 years ago) |
| Document Number: | P12000005622 |
| FEI/EIN Number |
45-4300291
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4001 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Mail Address: | 4001 W Hillsboro Blvd, Deerfield Beach, FL, 33442, US |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962744276 | 2013-03-25 | 2013-03-25 | 7575 65TH WAY N, PINELLAS PARK, FL, 337813116, US | 7575 65TH WAY N, PINELLAS PARK, FL, 337813116, US | |||||||||||||||||||||
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| Phone | +1 727-329-8779 |
| Fax | 7273298638 |
Authorized person
| Name | MR. SOLOMON MATHEW |
| Role | MANAGER |
| Phone | 9549408555 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001564900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| George Cyril | Director | 4001 W Hillsboro Blvd, Deerfield Beach, FL, 33442 |
| Mathew Annie | Agent | 4001 W Hillsboro Blvd, Deerfield Beach, FL, 33442 |
| ANNIE MATHEW, MATHEW BYPASS TRUS | Treasurer | 4001 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000037939 | WILLOW BAY SENIOR RESORT | ACTIVE | 2018-03-21 | 2028-12-31 | - | 4001 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| G12000046630 | WILLOW BAY SENIOR RESORT | EXPIRED | 2012-05-18 | 2017-12-31 | - | 4001 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-07-05 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-04-14 | Mathew, Annie | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-14 | 4001 W Hillsboro Blvd, Deerfield Beach, FL 33442 | - |
| CHANGE OF MAILING ADDRESS | 2022-04-25 | 4001 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL 33442 | - |
| AMENDMENT | 2015-05-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| Amendment | 2023-07-05 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-25 |
| AMENDED ANNUAL REPORT | 2021-06-22 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-03-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8588067008 | 2020-04-08 | 0455 | PPP | 4001 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442-9408 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
