| Entity Name: | SKILLED THERAPY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jan 1997 (28 years ago) |
| Document Number: | P97000001470 |
| FEI/EIN Number | 59-3422554 |
| Address: | D/B/A KENNEDY REHABILITATION, 3603 CRILL AVE, PALATKA, FL 32177 |
| Mail Address: | D/B/A KENNEDY REHABILITATION, 3603 CRILL AVE, PALATKA, FL 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972588069 | 2005-12-12 | 2020-08-22 | 3603 CRILL AVE, PALATKA, FL, 32177, US | 3603 CRILL AVE, PALATKA, FL, 32177, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-325-1001 |
| Fax | 3863251199 |
Authorized person
| Name | MR. CHRISTOPHER C KENNEDY |
| Role | PRESIDENT |
| Phone | 3863251001 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 13351 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | Q4V |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEIGER, JOHN RESQ. | Agent | 4475 US 1 SOUTH, SUITE 406, ST. AUGUSTINE, FL 32086 |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER C KENNEDY | President | 115 RIVERS EDGE DR, EAST PALATKA, FL 32131 |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER C KENNEDY | Vice Treasurer | 115 RIVERS EDGE DR, EAST PALATKA, FL 32131 |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER C KENNEDY | Director | 115 RIVERS EDGE DR, EAST PALATKA, FL 32131 |
| CANDICE L KENNEDY | Director | 115 RIVERS EDGE DR, EAST PALATKA, FL 32131 |
| Name | Role | Address |
|---|---|---|
| CANDICE L KENNEDY | Secretary | 115 RIVERS EDGE DR, EAST PALATKA, FL 32131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2004-07-02 | D/B/A KENNEDY REHABILITATION, 3603 CRILL AVE, PALATKA, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2004-07-02 | D/B/A KENNEDY REHABILITATION, 3603 CRILL AVE, PALATKA, FL 32177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
