| Entity Name: | NATURE COAST REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Dec 1999 (25 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P99000107570 |
| FEI/EIN Number | 593615428 |
| Address: | 37 SOUTH MAIN ST, SUITE C, WILLISTON, FL, 32696 |
| Mail Address: | P. O. BOX 518, WILLISTON, FL, 32696 |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477633204 | 2006-10-16 | 2009-01-15 | 25050 W NEWBERRY ROAD, NEWBERRY, FL, 326695050, US | 37 SOUTH MAIN STREET, SUITE C, WILLISTON, FL, 326962548, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-472-1400 |
| Fax | 3524721300 |
| Phone | +1 352-529-0012 |
| Fax | 3525282878 |
Authorized person
| Name | MRS. ELIZABETH HICKS |
| Role | OWNER |
| Phone | 3525290012 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED |
| Number | 298499 |
| State | FL |
| Issuer | MEDICAID |
| Number | 890647500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HICKS ELIZABETH J | Agent | 37 SOUTH MAIN ST, WILLISTON, FL, 32696 |
| Name | Role | Address |
|---|---|---|
| HICKS ELIZABETH J | President | P. O. BOX 518, WILLISTON, FL, 32696 |
| Name | Role | Address |
|---|---|---|
| HICKS ELIZABETH J | Director | P. O. BOX 518, WILLISTON, FL, 32696 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-21 | 37 SOUTH MAIN ST, SUITE C, WILLISTON, FL 32696 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-21 | 37 SOUTH MAIN ST, SUITE C, WILLISTON, FL 32696 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-03-21 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5731527102 | 2020-04-14 | 0491 | PPP | 37 S Main St Ste C, Williston, FL, 32696-2653 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
