MID-SOUTH NURSING HOMES, INC.

Company Details

Name:	MID-SOUTH NURSING HOMES, INC.
Legal type:	Foreign Corporation
Status:	Inactive
Standing:	Good
Profit or Non-Profit:	Non-profit
File Date:	29 May 1981 (44 years ago)
Authority Date:	29 May 1981 (44 years ago)
Last Annual Report:	26 Jan 2007 (18 years ago)
Organization Number:	0156748
Principal Office:	SARAH FEB, 111 N. ORLANDO AVENUE, WINTER PARK, FL 32789
Place of Formation:	TENNESSEE

Signature

Name	Role
ARIEL DEPRADA	Signature
ARIEL DE PRADA	Signature

Director

Name	Role
CLARENCE LAUE	Director
Michelle R. Fetters	Director
Terry D. Shaw	Director
Paul C. Rathbun	Director
Peter M. Weber	Director
E. L. MARLEY	Director
F. WAYNE FOSTER	Director
J. H. WHITEHEAD	Director
F. B. COTHREN, M.D.	Director

Incorporator

Name	Role
E. L. MARLEY, JR.	Incorporator
J. H. WHITEHEAD	Incorporator
F. W. FOSTER	Incorporator

Registered Agent

Name	Role
KY SECRETARY OF STATE	Registered Agent

Treasurer

Name	Role
Richard P. Center	Treasurer

Chairman

Name	Role
Robert R. Henderschedt	Chairman

Secretary

Name	Role
Richard P. Center	Secretary

National Provider Identifier

NPI Number:

1861612681

Link:

View on NPI website

Authorized Person:

Name:

MR. RONALD M WEHTJE

Role:

VP CFO

Phone:

4079753010

Taxonomy:

Selected Taxonomy:

314000000X - Skilled Nursing Facility

Is Primary:

Yes

Contacts:

Phone:

+1 407-975-3000

Fax:

4079753090

Phone:

+1 270-885-1151

Fax:

2708857461

Assumed Names

Name	Status	Expiration Date
PINECREST MANOR	Inactive	2008-07-15

Filings

Name	File Date
Certificate of Withdrawal	2007-02-23
Certificate of Withdrawal of Assumed Name	2007-02-23
Annual Report	2007-01-26
Annual Report	2006-03-07
Annual Report	2005-06-24

Sources: Kentucky Secretary of State