| Entity Name: | GULF SHORE FACILITY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Mar 2015 (10 years ago) |
| Document Number: | P15000028904 |
| FEI/EIN Number | 47-3721559 |
| Address: | 6767 86th Avenue N, Pinellas Park, FL, 33782-4597, US |
| Mail Address: | 6767 86th Avenue N, Pinellas Park, FL, 33782-4597, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982091476 | 2015-04-22 | 2015-04-29 | 4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL, 330216635, US | 6767 86TH AVENURE NORTH, PINELLAS PARK, FL, 337824597, US | |||||||||||||||||
|
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| Phone | +1 727-584-5566 |
Authorized person
| Name | MR. MICHAEL BLEICH |
| Role | AUTHORIZED REPRESENTATIVE |
| Phone | 8456418314 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130470981 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| 86TH AVENUE CARE INC | Director |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000038431 | GULF SHORE CARE CENTER | ACTIVE | 2015-04-16 | 2025-12-31 | No data | 4302 HOLLYWOOD BOULEVARD #369, HOLLYWOOD, FL, 33021 |
| G15000037889 | GULF SHORE REHABILITATION AND NURSING CENTER | EXPIRED | 2015-04-15 | 2020-12-31 | No data | 4302 HOLLYWOOD BOULEVARD #369, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 6767 86th Avenue N, Pinellas Park, FL 33782-4597 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 6767 86th Avenue N, Pinellas Park, FL 33782-4597 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-04-12 |
| Domestic Profit | 2015-03-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
