01 5025095 exp 11/30 10-1513 75171 00 02 5002096 exp 03/31 10-1523 754 00 02 5001096 exp 02/28 10-1537 1500091 00 Covenant, Inc. 51 N th Ave Pensacola FL 325-89 (850) 433-2155 Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton & Washington Big Bend, Inc. 1723 Mahan Center Blvd Tallahassee FL 323-5428 (850) 878-5310 Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor & Wakulla of the Emerald Coast 2925 Martin Luther King Blvd Panama City FL 305-4411 (850) 769-0055 Bay, Calhoun, Escambia, Gulf, Holmes, Jackson, Okaloosa, Santa Rosa, Walton & Washington None 00 10075 Hillview Rd Pensacola FL 32514 (01/27/05 added 4 beds) None 00 1723-1 Mahan Center Blvd Tallahassee FL 323 9288 N/A 370 Redstone Dr Crestview FL 32536 910 Airport Rd Ste A Destin FL 32541 4349 Lafayette St Marianna FL 346 5907 Berryhill Rd Milton FL 32570 101 Hart St Niceville FL 32578 107 W 19 th St Panama City FL 305 6300 N Davis Hwy Pensacola FL 325 1545 Raymond Diehl Rd Ste 102 Tallahassee FL 323 9370 207 Ave B SE Carrabelle FL 32322 36 Madison St Chattahoochee FL 323 2889 Crawfordville Hwy Ste 4 Crawfordville FL 32327 801 SW Smith St Madison FL 32340 205 N Mulberry St Monticello FL 32344 107 E Green St Perry FL 32347 105 N Jackson St Quincy FL 32351 None 00 None 00 N/A 2529 South Ferdon Blvd Crestview FL 32536 4374 Lafayette St Marianna FL 347 5401 Corporate Woods Dr Ste 800, Pensacola FL 32501 401 Reid Ave Port St. Joe FL 356 Revised June 8, 2005 Page 1 of 8
03 50096 10-1526 of Citrus County, Inc. 4005 N Lecanto Hwy Beverly Hills, FL 34465-3509 (352) 527-2020 75368 00 03 5019096 10-1525 75261 00 03 5020096 exp /31 10-1518 75201 00 Citrus of Lake & Sumter, Inc. 300 Lane Park Rd Tavares FL 32778-9660 (352) 343-1341 Hardee, Highlands, Lake, Orange, Osceola, Polk & Sumter of Marion County, Inc. 3231 SW 34 th Ave Ocala FL 34478-4860 (352) 873-7400 Marion 300 Lane Park Rd Tavares FL 32778 2895 SE 62 nd St Ocala FL 34480 2897 SW 62 nd St Ocala FL 34480 17421 SE 109 th Ter Unit 2 Summerfield FL 34491 02 300 Lane Park Rd Tavares FL 32778 601 Casa Bella Lady Lake FL 322 (//03) 9625 9679 None None 00 N/A None 03 5023096 10-1515 75198 00 of North Central Florida 4200 NW 90 th Blvd Gainesville FL 326-3809 (352) 378-21 Alachua, Baker, Bradford, Clay, Columbia, Dixie, Duval, Gilchrist, Hamilton, Lafayette, Levy, Nassau, Putnam, St. Johns, Suwannee & Union 9505 SW 110 th St Ocala FL 34481 4200 NW 90 th Blvd Gainesville FL 326 6400 St Johns Ave Palatka FL 32177 311 NE 9 th St Chiefland FL 32626 (10/28/) 02 4200 NW 90 th Blvd Gainesville FL 326 6400 St Johns Ave Palatka FL 32177 (05/18/- conversion) 311 NE 9 th St Chiefland FL32626 (10/28/) 10 10 9292 9728 9727 4305 NW 90 th Blvd Gainesville FL 326 6500 St. John s Ave Palatka FL 32177 1900 FL Gateway Ctr Blvd Lake City FL 326 6 N Main St Chiefland FL 32626 8130 Baymeadows Way W #101 Jacksonville FL 32256 Revised June 8, 2005 Page 2 of 8
50096 10-1500 74078 00 5039096 10-1539 1500031 00 50370968 exp 02/14 10-1546 1500155 00 5034096 exp 07/30 10-1522 75236 00 50370969 exp /01 Community of Northeast Florida, Inc. 4266 Sunbeam Rd Jacksonville FL 32257-6030 (9) 268-5200 Baker, Clay, Duval, Nassau & St. Johns Florida Hospital Memorial Care 770 W Granada Blvd Ste 3 Ormond Beach FL 32174-5180 (386) 671-2138 Flagler & Volusia of the Palm Coast 149 S Ridgewood Ave Ste 400 Daytona Beach FL 32114-4335 (386) 8-2380 Flagler & Volusia of Volusia-Flagler 3800 Woodbriar Trl Port Orange FL 32119-9626 (386) 322-4701 Flagler & Volusia Vitas Healthcare Corporation of Central Florida 533 N Nova Rd Ormond Beach FL 32174-4422 Flagler & Volusia 4266 Sunbeam Road Jacksonville FL 32257 (01/11/05) (05/23/05 converting) 14 4266 Sunbeam Rd Jacksonville FL 32257 (//01- converted) (request survey of additional beds 05/23/05) San Pablo Rd Jacksonville FL (need for survey 05/05/05) Ramona Blvd (Duval County) (need for survey 05/05/05) 14 9426 N/A 9819 9820 1020 Claudia St New Smyrna Beach 328 (01/25/05) 05 3800 Woodbriar Trl Port Orange FL (/01/02- converted) Volusia County (10/17/03 need for survey) 9486 9686 5238-5 Norwood Ave Jacksonville FL 322 728 Blanding Blvd Ste 4 Orange Park FL 325 525 State Rd Ste 1 St. Augustine FL 3 1870A State Rd 200 Yulee FL 32097 50 S Spring Garden Rd Ste 4 Deland FL 32720 555 W Granada Blvd Ste H Ormond Beach FL 32174 7 Florida Park Dr Palm Coast FL 32137 Revised June 8, 2005 Page 3 of 8
05 5005096 exp 03/31 10-1532 Gulfside Regional, Inc. 6117 Trouble Creek Rd New Pt Richey FL 34653-50 (727) 845-5707 6230 Lafayette St New Port Richey FL 10 None 00 N/A 6230 Lafayette St New Port Richey FL 757 00 05 50096 exp 02/28 10-1511 75155 00 Pasco (Formerly of Pasco, Inc.) Hernando-Pasco, Inc. 107 Majestic Blvd Hudson FL 34667-55 (727) 863-7971 Citrus, Hernando & Pasco (Citrus County added /01/05 CON 9678) 254 Cortez Blvd Brooksville FL 34613 37441 Clinton Ave Dade City FL 33525 139 Majestic Blvd Hudson FL 34667 07 6801 Rowan Rd New Port Richey FL 34653 Clinton Ave Dade City FL 33525 (09/14/ need for survey) 9487 9734 260 Cortez Blvd Brooksville FL 34613 698 S Broad St Brooksville FL 34601 029 Majestic Blvd Ste 1 Hudson FL 34667 17 N Lecanto Hwy Lecanto FL 34461 6807 Rowan Rd New Port Richey FL 34653 05 5032096 exp /30 10-15 75325 00 The of the Florida Suncoast, Inc. 300 E Bay Dr Largo FL 33770-37 (727) 586-4432 Pinellas The Villas at Woodside 6774-102 nd Ave N Pinellas Park FL 33782 (renovated 10/29/) 22 House Woodside 6770-102 nd Ave N Pinellas Park FL 33782 (renovated 10/29/) 76 Fort King Rd Zephyrhills FL 33541 50 97 Cross Bayou FlexxSpace 11701 S Belcher Rd Ste 130 Largo FL 33773 2675 Tampa Rd Palm Harbor FL 34683 500951 exp /25 10-1507 751 02 5007096 exp /25 10-1507 Good Shepherd 115 S Missouri Ave Ste 500 Lakeland FL 33815-4632 (863) 297-1880 Polk (owned by LifePath and Palliative Care, Inc.) Good Shepherd 4418 Sun n Lake Blvd Ste B Sebring FL 33872-24 (863)471-3700 None 00 105 Arneson Ave Auburndale FL 33823 (conversion 02/20/03) 5639-49 th St St. Petersburg FL 33709 9437 105 Arneson Ave Auburndale FL 33823 39 E Main St Ste 1 Bartow FL 33830 280 Patterson Rd Haines City FL 33844 50 Lake Morton Dr Lakeland FL 33831 751 03 Hardee & Highlands (owned by LifePath ) Revised June 8, 2005 Page 4 of 8
5018095 exp 11/30 10-1507 751 00 07 5030096 exp 03/31 10-1533 LifePath and Palliative Care, Inc. 3010 W Azeele St Tampa FL 33609-3139 (813) 877-2200 Hardee, Highlands, Hillsborough & Polk of the Comforter, Inc. 480 W Central Pkwy Altamonte Springs FL 32714-15 (407) 682- None 00 9 American Eagle Blvd Sun City Center FL 33573 (/02 conversion) 115 N 52 nd St Temple Terrace FL 33617 (05//05) 9385 9580 9582 9787 3725 Upper Creek Dr Ruskin FL 33573 405 N Reo St Tampa FL 33609 11150 N 53rd St Temple Terrace FL 33617-48 Eastern Hillsborough Cty (02/01/05-need for survey) None 00 None 00 N/A 251 Altamonte Commerce Blvd Suite 1410 Altamonte Springs FL 32714 72563 00 07 50090961 exp /30 10-1520 Orange, Osceola & Seminole of Health First, Inc. 1900 Dairy Rd W Melbourne FL 329-46 (321) 952-94 None 00 381 Medplex Pkwy NE Palm Bay FL 32907 (09/01/) 9445 200 S Courtenay Pkwy Merritt Island FL 32952 75228 00 07 50370963 exp 01/22 10-1540 15006 00 07 5029096 exp /30 10-1534 72555 00 07 50370966 exp 09/ 10-1545 15001 00 07 50140961 10-1503 Brevard of Orange-Osceola 4111 Metric Dr Ste 4 Winter Park FL 32792-6829 (407) 599-5079 Orange & Osceola of St. Francis, Inc. 50 Grumman Pl Ste B Titusville Fl 32780-5563 (321) 269-7927 Brevard Vitas Healthcare Corporation of Central Florida 4450 W Eau Gallie Blvd Ste 280 Melbourne Fl 32934-7214 (321) 751-6671 Brevard Vitas Healthcare Corporation of Central Florida 5151 Adanson St Ste 200 Orlando FL 328-1351 (407) 875-0028 None 00 None 00 9498 None 15000 00 07 5003096 10-1514 75180 00 Orange, Osceola & Seminole Wuestoff Brevard & Palliative Care 80 Spyglass Hill Rd Viera, FL 32940-7983 (321) 253-2222 x4700 Brevard None 00 110 Longwood Ave 4 Tower Rockledge FL 32955 leasing delicensed/ decertified hospital beds (07/01/03) 9444 None Revised June 8, 2005 Page 5 of 8
5010096 exp /31 10-15 75350 00 Hope & Palliative Care 9470 HealthPark Cir Fort Myers FL 339-3600 (239) 489-9140 Glades, Hendry & Lee 30 Diplomat Pkwy E Cape Coral FL 33909 30 Diplomat Pkwy E Cape Coral FL 33909 9470 HealthPark Cir Fort Myers FL 339 /18/03 - need for survey; 10/05/-construction begun 94 7431 9639 30 Diplomat Pkwy Cape Coral FL 33909 27970 Crown Lake Blvd #5 Bonita Springs FL 34135 101 W C Owens Ave Clewiston FL 33440 13821 N Cleveland Ave Ft. Myers FL 33903 25 Homestead Rd, Unit 35 LeHigh Acres FL 33936. 5022096 exp 01/31 10-1528 75376 00 5028096 exp 10/31 10-1521 75279 00 of Naples, Inc. 1095 Whippoorwill Ln Naples FL 34105-3847 (239) 261-44 Collier of Southwest Florida, Inc. 5955 Rand Blvd Sarasota FL 34238-50 (941) 923-5822, 921-5813 fax Charlotte, DeSoto, Manatee & Sarasota None 00 1095 Whippoorwill Ln Naples FL 34105 5957 Rand Blvd (03//03) Sarasota FL 34238 (9/20/) 210 Wexford Blvd Venice FL 34293 (01//05) 25 34 th Ave Bradenton FL 34205 (02//05 conversion) (8 new to be added ) 4151 37 th St E Palmetto FL 34221 (2//05) 1144 Veronica St Port Charlotte FL 33952 (conversion anticipated //05) (6 new to be added) 38B 14 th St, Buckhead Ridge Okeechobee FL 34974 9502 750 S 5 th Ave, Ste 709 Immokalee FL 34142 9503 9697 9698 9690 9691 9694 15495 Tamiami Trail N #5 Naples FL 34110 207 E Magnolia St Arcadia FL 34266 220 Wexford Blvd Venice FL 34293 3355 26 th St W Bradenton FL 34205 6310 Capital Dr Ste 100 Bradenton FL 34202 4151 37 th St E Palmetto FL 34221 1144 Veronica St Port Charlotte FL 33952 Revised June 8, 2005 Page 6 of 8
09 5011096 10-15 By The Sea, Inc. 1531 W Palmetto Park Rd Boca Raton FL 33486-3307 (561) 395-5031 None 00 1531 W Palmetto Park Rd Boca Raton FL (total-25 beds) 09 62 45 8771 None 75295 00 09 50210961 exp /31 10-1510 Broward & Palm Beach The of Martin & St. Lucie, Inc. 01 SE Indian St Stuart FL 34997-5688 (772) 403-4500 Subdistrict 9B (09/14/ need for survey) 1000 SE Ruhunke St Stuart FL 34997 (converted 03/21/05) 8445 9796 309 NW 5th St Okeechobee FL 34972 75147 00 09 5026096 exp /30 10-1527 75384 00 09 5027096 10-15 753 00 09 5033096 10-1517 75287 00 09 50370967 exp 11/ 10-1544 Martin, Okeechobee & St. Lucie of Okeechobee, Inc. 411 SE 4 th St Okeechobee FL 34974-4437 (863) 467-2321 Martin, Okeechobee & St. Lucie of Palm Beach County, Inc. 5300 East Ave West Palm Beach FL 33407-2387 (561) 848-5200 Palm Beach of the Treasure Coast, Inc. 01 SE Indian St Stuart FL 34997-5688 (772) 465-05 Martin, Okeechobee & St. Lucie Vitas Healthcare Corporation of Florida 1901 Congress Ave Ste 420 Boynton Beach Fl 33426-6588 (561) 364-1479, (877) 848-2798 None 00 5300 East Ave West Palm Beach FL (total-36 beds) 5090 Dunn Rd Ft Pierce FL 34981 (closed - damaged by Hurricane Frances) Dunn & Midway Road Ft Pierce FL (09/14/ need for survey) 3693 9519 1901 S Congress Ave Ste 200 Boynton Beach FL 33462 4460 Medical Center Way West Palm Beach FL 33407 9743 2500 Virginia Ave Ste 202 Fort Pierce FL 34981 10360 S Federal Hwy Port St Lucie FL 34952 1500139 00 09 5038096 exp 09/30 10-1529 Palm Beach VNA of Indian River County, Inc. 1110 35 th Ln Vero Beach FL 32960-4003 (772) 567-5551 00 901 37 th St Vero Beach FL 32960 (09/25/01 conversion) 9457 None 70005 00 Indian River Revised June 8, 2005 Page 7 of 8
10 50096 exp /31 10-1502 74736 00 10 5017096 exp 10/31 10-1509 1500007 00 10 50370961 10-1505 758 00 11 50095 exp 11/30 10-1530 75694 00 11 50370965 exp 01/01 10-1543 15001 00 11 5013096 exp /30 10-1536 1500015 00 11 50310951 exp 11/30 10-15 75252 00 11 5036096 10-15 766 00 Care of Southeast Florida, Inc. 309 SE 18 th St Ft Lauderdale FL 333-2817 (954) 467-7423 Broward, Dade & Monroe (Formerly Care of Broward County, Inc.) of Gold Coast Home Health Services 911 E Atlantic Blvd Ste 200 Pompano Beach Fl 330-7372 (954) 785-2990 Broward Vitas Healthcare Corporation of Florida 5420 NW 33 rd Ave Ste 100 Ft Lauderdale FL 33309-6348 (954) 486-45 Broward Catholic, Inc. 14875 NW 77 th Ave Ste 100 Miami Lakes FL 33014-2568 (305) 822-2380 Dade & Monroe Douglas Gardens, Inc. 5200 NE 2 nd Ave Miami FL 33137-27 (305) 762-3883 Dade & Monroe Care of South Florida 7270 NW th St Penthouse 6 Miami FL 336-1929 (305) 591- Dade of the Florida Keys, Inc. 1319 William St Key West Fl 330-4736 (305) 294-88 Monroe Vitas Healthcare Corporation of Florida 515 N Kendall Dr Ste 210 Miami FL 33186-1830 (305) 576-9333 Dade 1727 SE 4 th Ave Ft Lauderdale FL 333 None 00 N/A 00 NW 78 th Ave Ste 101 Miami FL 336 956 Overseas Highway Tavernier FL 33070 None 00 None 00 N/A 7300 N Kendall Dr Ste 600 Miami FL 33156 None 00 None 00 N/A 92001 U S Hwy 1 Tavernier FL 33070 None 00 None 00 N/A 1700 Executive Way Miramar FL Revised June 8, 2005 Page 8 of 8