| Entity Name: | ACTIVE LIVING REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Sep 1996 (28 years ago) |
| Document Number: | P96000077809 |
| FEI/EIN Number | 593403408 |
| Address: | 10446 PONTOFINO CIRCLE, TRINITY, FL, 34655 |
| Mail Address: | 10446 PONTOFINO CIRCLE, TRINITY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437362787 | 2007-05-07 | 2010-04-13 | 10446 PONTOFINO CIR, TRINITY, FL, 346557057, US | 10446 PONTOFINO CIR, TRINITY, FL, 34655, US | |||||||||||||||||||
|
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| Phone | +1 727-376-4012 |
| Fax | 7273757878 |
Authorized person
| Name | MR. THOMAS R WEST |
| Role | BUSINESS MANAGER |
| Phone | 7273764012 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOVELACE WILLIAM K | Agent | 401 S LINCOLN AVE, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| WEST SHELLEY | Director | 10446 PONTOFINO CIRCLE, TRINITY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| WEST JEFFREY T | Treasurer | 5217 BEACH BREEZE CT, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-05 | 401 S LINCOLN AVE, CLEARWATER, FL 33756 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-22 | 10446 PONTOFINO CIRCLE, TRINITY, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-22 | 10446 PONTOFINO CIRCLE, TRINITY, FL 34655 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-15 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-02-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
