| Entity Name: | NEIGHBORLY CARE NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 20 Apr 1966 (59 years ago) |
| Document Number: | 710756 |
| FEI/EIN Number | 591218100 |
| Address: | 5225 Tech Data Drive, CLEARWATER, FL, 33760, US |
| Mail Address: | 5225 Tech Data Drive, CLEARWATER, FL, 33760, US |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | NEIGHBORLY CARE NETWORK, INC., NEW YORK | 3553059 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578927364 | 2016-04-08 | 2023-03-22 | 13945 EVERGREEN AVE, CLEARWATER, FL, 337624525, US | 2601 54TH AVE S, ST PETERSBURG, FL, 337124709, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-573-9444 |
| Fax | 7274560229 |
| Phone | +1 727-954-6484 |
| Fax | 7273396993 |
Authorized person
| Name | MR. DAVID LOMAKA |
| Role | CEO |
| Phone | 7275739444 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9267 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012896700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIGHBORLY CARE NETWORK, INC. 403(B) RETIREMENT SAVINGS PLAN | 2010 | 591218100 | 2011-10-13 | NEIGHBORLY CARE NETWORK, INC. | 167 | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591218100 |
| Plan administrator’s name | NEIGHBORLY CARE NETWORK, INC. |
| Plan administrator’s address | 12425 28TH ST. N., SUITE 200, ST. PETERSBURG, FL, 33716 |
| Administrator’s telephone number | 7274560222 |
Number of participants as of the end of the plan year
| Active participants | 183 |
| Other retired or separated participants entitled to future benefits | 34 |
| Number of participants with account balances as of the end of the plan year | 187 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | DEBRA SHADE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-13 |
| Name of individual signing | DEBRA SHADE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-07-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 7274560222 |
| Plan sponsor’s mailing address | 12425 28TH ST. N., SUITE 200, ST. PETERSBURG, FL, 33716 |
| Plan sponsor’s address | 12425 28TH STREET N. SUITE 200, ST PETERSBURG, FL, 33716 |
Plan administrator’s name and address
| Administrator’s EIN | 591218100 |
| Plan administrator’s name | NEIGHBORLY CARE NETWORK, INC. |
| Plan administrator’s address | 12425 28TH ST. N., SUITE 200, ST. PETERSBURG, FL, 33716 |
| Administrator’s telephone number | 7274560222 |
Number of participants as of the end of the plan year
| Active participants | 162 |
| Other retired or separated participants entitled to future benefits | 12 |
| Number of participants with account balances as of the end of the plan year | 151 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | DEBRA SHADE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-13 |
| Name of individual signing | DEBRA SHADE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Lomaka David J | Agent | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| LOMAKA DAVID J | Chief Executive Officer | 5225 TECH DATA DRIVE, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Nasso Julius J | Secretary | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| Barge Jim | Director | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Mirenda Brooke | Director | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| Audino Michael | Vice Chairman | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| Bailie Jeremy | Chairman | 13945 EVERGREEN AVE., CLEARWATER, FL, 33762 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000008180 | MEALS ON WHEELS PINELLAS COUNTY | ACTIVE | 2020-01-17 | 2025-12-31 | No data | 13945 EVERGREEN AVENUE, CLEARWATER, FL, 33762 |
| G19000033453 | NEIGHBORLY SUNNY HARBOR ADULT DAY SERVICES | ACTIVE | 2019-03-12 | 2029-12-31 | No data | 1015 OMAHA CIRCLE, PALM HARBOR, FL, 34683 |
| G15000036337 | THE HAIRPORT | EXPIRED | 2015-04-10 | 2020-12-31 | No data | 13945 EVERGREEN AVENUE, CLEARWATER, FL, 33762 |
| G13000092933 | EVERGREEN ADULT DAY CARE CENTER | ACTIVE | 2013-09-19 | 2028-12-31 | No data | 2601 54TH AVENUE SOUTH, ST, PETERSBURG, FL, 33712 |
| G10000083746 | FLORIDA PACE ASSOCIATION | EXPIRED | 2010-09-13 | 2015-12-31 | No data | 13945 EVERGREEN AVENUE, CLEARWATER, FL, 33762 |
| G10000037081 | NEIGHBORLY PACE CENTER | EXPIRED | 2010-04-27 | 2015-12-31 | No data | 13945 EVERGREEN AVENUE, CLEARWATER, FL, 33762 |
| G09000113584 | SUNSHINE ADULT DAY CARE CENTER | EXPIRED | 2009-06-04 | 2014-12-31 | No data | 12425 28TH STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 33716 |
| G08242900164 | TARPON SPRINGS ADULT DAY CARE CENTER | EXPIRED | 2008-08-29 | 2013-12-31 | No data | 431 E. SPRUCE STREET, TARPON SPRINGS, FL, 34689 |
| G08242900161 | LARGO ADULT DAY CARE CENTER | ACTIVE | 2008-08-29 | 2028-12-31 | No data | 11095 131ST. STREET, LARGO, FL, 33774 |
| G08242900146 | LEALMAN ADULT DAY CARE CENTER | EXPIRED | 2008-08-29 | 2013-12-31 | No data | 3455 58TH AVE. NORTH, ST. PETERSBURG, FL, 33714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2009-03-04 | No data | No data |
| NAME CHANGE AMENDMENT | 2003-05-16 | NEIGHBORLY CARE NETWORK, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1995-09-11 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1988-03-29 | No data | No data |
| NAME CHANGE AMENDMENT | 1981-04-22 | NEIGHBORLY SENIOR SERVICES, INC. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
