| Entity Name: | THE ARC TAMPA BAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 20 Dec 1963 (61 years ago) |
| Document Number: | 706582 |
| FEI/EIN Number | 591056551 |
| Address: | 1501 N. BELCHER ROAD, 249, CLEARWATER, FL, 33765, US |
| Mail Address: | 1501 N. BELCHER ROAD, 249, CLEARWATER, FL, 33765, US |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316132509 | 2007-09-11 | 2022-02-24 | 1501 N BELCHER RD, STE. 249, CLEARWATER, FL, 337651339, US | 1501 N BELCHER RD, STE. 249, CLEARWATER, FL, 337651339, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-799-3330 |
| Fax | 7277994632 |
Authorized person
| Name | MR. BRIAN V. SIRACUSA |
| Role | EXECUTIVE DIRECTOR |
| Phone | 7277993330 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 024020696 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 040231200 |
| State | DC |
| Issuer | MEDICAID |
| Number | 024020696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIRACUSA BRIAN | Agent | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| PELLEGRINO JENNIFER | Chief Financial Officer | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| Finchum Travis | Vice President | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| Kinney Robert | Treasurer | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| HELLER STEPHEN | President | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Name | Role | Address |
|---|---|---|
| SIRACUSA BRIAN | Exec | 1501 N. BELCHER ROAD, CLEARWATER, FL, 33765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2014-12-30 | THE ARC TAMPA BAY, INC. | No data |
| NAME CHANGE AMENDMENT | 2010-12-14 | UPARC, INC. | No data |
| NAME CHANGE AMENDMENT | 1978-07-31 | THE UPPER PINELLAS ASSOCIATION FOR RETARDED CITIZENS, INC. | No data |
| NAME CHANGE AMENDMENT | 1971-09-02 | UPPER PINELLAS ASSOCIATION FOR RETARDED CHILDREN, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
