Search icon

NEW HEIGHTS OF NORTHEAST FLORIDA, INC.

Company Details

Entity Name: NEW HEIGHTS OF NORTHEAST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 28 Dec 1959 (65 years ago)
Document Number: 705467
FEI/EIN Number 590718304
Address: 3311 BEACH BLVD, JACKSONVILLE, FL, 32207
Mail Address: 3311 BEACH BLVD, JACKSONVILLE, FL, 32207
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649317942 2007-01-30 2020-05-18 3311 BEACH BLVD, JACKSONVILLE, FL, 322073704, US 3311 BEACH BLVD, JACKSONVILLE, FL, 322073704, US

Contacts

Phone +1 904-396-1462
Fax 9043961199

Authorized person

Name MRS. SUSAN DIANNE DRISCOLL
Role PRESIDENT / CEO
Phone 9043961462

Taxonomy

Taxonomy Code 222Q00000X - Developmental Therapist
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No
Taxonomy Code 252Y00000X - Early Intervention Provider Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 058136401
State FL
Issuer MEDICAID
Number 811958900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW HEIGHTS OF NORTHEAST FLORIDA, INC. RETIREMENT PLAN 2018 590718304 2019-03-01 NEW HEIGHTS OF NORTHEAST FLORIDA, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-11-01
Business code 624100
Plan sponsor’s address 3311 BEACH BLVD, JACKSONVILLE, FL, 322073704

Signature of

Role Plan administrator
Date 2019-03-01
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-01
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
NEW HEIGHTS OF NORTHEAST FLORIDA, INC. RETIREMENT PLAN 2016 590718304 2018-08-24 NEW HEIGHTS OF NORTHEAST FLORIDA, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-11-01
Business code 624100
Plan sponsor’s address 3311 BEACH BLVD, JACKSONVILLE, FL, 322073704

Signature of

Role Plan administrator
Date 2018-08-24
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
NEW HEIGHTS OF NORTHEAST FLORIDA, INC. RETIREMENT PLAN 2015 590718304 2016-07-20 NEW HEIGHTS OF NORTHEAST FLORIDA, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-11-01
Business code 624100
Sponsor’s telephone number 9043961462
Plan sponsor’s address 3311 BEACH BLVD, JACKSONVILLE, FL, 322073704

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
NEW HEIGHTS OF NORTHEAST FLORIDA, INC. RETIREMENT PLAN 2014 590718304 2015-07-29 NEW HEIGHTS OF NORTHEAST FLORIDA, INC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-11-01
Business code 624100
Sponsor’s telephone number 9043961462
Plan sponsor’s address 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-29
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
NEW HEIGHTS OF NORTHEAST FLORIDA, INC. RETIREMENT PLAN 2013 590718304 2014-07-10 NEW HEIGHTS OF NORTHEAST FLORIDA, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-11-01
Business code 624100
Sponsor’s telephone number 9043961462
Plan sponsor’s address 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing SUSAN DRISCOLL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Driscoll Susan Agent 3311 BEACH BLVD., JACKSONVILLE, FL, 32207

President

Name Role Address
Driscoll Susan President 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Director

Name Role Address
SAWYER BRYAN Director 3311 BEACH BLVD, JACKSONVILLE, FL, 32207
Fishburne John IIII Director 3311 BEACH BLVD, JACKSONVILLE, FL, 32207
Quackenbush David Director 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Chairman

Name Role Address
ABNER MICHELLE Chairman 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Vice Chairman

Name Role Address
Weaver Joel Vice Chairman 3311 BEACH BLVD, JACKSONVILLE, FL, 32207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08141900152 CEREBRAL PALSY OF NORTHEAST FLORIDA, INC. EXPIRED 2008-05-20 2013-12-31 No data 3311 BEACH BLVD., JACKSONVILLE, FL, 32207
G08141900149 NEW HEIGHTS EXPIRED 2008-05-20 2013-12-31 No data 3311 BEACH BLVD., JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2008-05-16 NEW HEIGHTS OF NORTHEAST FLORIDA, INC. No data
AMENDED AND RESTATEDARTICLES/NAME CHANGE 1996-05-17 CEREBRAL PALSY OF NORTHEAST FLORIDA, INC. No data
NAME CHANGE AMENDMENT 1979-06-13 CEREBRAL PALSY OF JACKSONVILLE No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State