Entity Name: | DUVALL HOMES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 22 Dec 1966 (58 years ago) |
Document Number: | 712001 |
FEI/EIN Number | 591159090 |
Address: | 827 S Spring Garden Avenue, DELAND, FL, 32720, US |
Mail Address: | P.O. BOX 220036, GLENWOOD, FL, 32722, US |
ZIP code: | 32720 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417265737 | 2010-09-21 | 2024-09-03 | 827 S SPRING GARDEN AVE, DELAND, FL, 327206648, US | 827 S SPRING GARDEN AVE, DELAND, FL, 327206648, US | |||||||||||||||||||||||||
|
Phone | +1 386-734-2874 |
Fax | 3867345504 |
Authorized person
Name | MR. STEVEN DEVANE |
Role | CHEIF EXECUTIVE OFFICER |
Phone | 3867342874 |
Taxonomy
Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
License Number | 09-12-063 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 023863596 |
State | FL |
Name | Role | Address |
---|---|---|
DEVANE STEVEN | Agent | 827 S. SPRING GARDEN AVENUE, DeLAND, FL, 32720 |
Name | Role | Address |
---|---|---|
Walsh Robert | Chairman | 65 Knollwood Estate Dr., Ormond Beach, FL, 32174 |
Name | Role | Address |
---|---|---|
DeVane Steven | Chief Executive Officer | 26 Foxfords Chase, ORMOND BEACH, FL, 32174 |
Name | Role | Address |
---|---|---|
O'CONNOR TERRENCE | Chief Financial Officer | 2 RICKENBACKER DRIVE, PALM COAST, FL, 32164 |
Name | Role | Address |
---|---|---|
Shankleton Marsha | Chief Operating Officer | 44 Wisteria Dr, Debary, FL, 32713 |
Name | Role | Address |
---|---|---|
Webster Juleith | Chie | 2681 Salters Court, Deltona, FL, 32738 |
Name | Role | Address |
---|---|---|
Ugarte Michael | Vice Chairman | 118 North Saint Andrews Drive, Ormond Beach, FL, 32174 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000028967 | BANNISTER GROUP HOME | EXPIRED | 2019-03-01 | 2024-12-31 | No data | 2281 BANNISTER ST., DELTONA, FL, 32738 |
G15000123305 | BANNISTER GROUP HOME | EXPIRED | 2015-12-07 | 2020-12-31 | No data | 2281 BANNISTER ST, DELTONA, FL, 32738 |
G15000048630 | LUCK GROUP HOME | EXPIRED | 2015-05-15 | 2020-12-31 | No data | 936 ELKCAM BLVD, DELTONA, FL, 32725 |
G15000048314 | O'GORMAN GROUP HOME | EXPIRED | 2015-05-14 | 2020-12-31 | No data | 877 TULIP ST, DELTONA, FL, 32725 |
G15000026359 | ELKCAM GROUP HOME | EXPIRED | 2015-03-12 | 2020-12-31 | No data | 936 ELKCAM BLVD, DELTONA, FL, 32725 |
G15000026361 | TULIP GROUP HOME | EXPIRED | 2015-03-12 | 2020-12-31 | No data | 877 TULIP ST, DELTONA, FL, 32725 |
G14000117342 | FLYNN GROUP HOME | EXPIRED | 2014-11-21 | 2019-12-31 | No data | PO BOX 220036, GLENWOOD, FL, 32722 |
G14000045449 | OUTRIGGER GROUP HOME | EXPIRED | 2014-05-07 | 2019-12-31 | No data | P O BOX 220036, GLENWOOD, FL, 32722 |
G14000045420 | IRONDALE GROUP HOME | EXPIRED | 2014-05-07 | 2019-12-31 | No data | PO BOX 220036, GLENWOOD, FL, 32722 |
G14000045462 | DUVALL HOME | EXPIRED | 2014-05-07 | 2019-12-31 | No data | PO BOX 220036, GLENWOOD, FL, 32722 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT AND NAME CHANGE | 2015-02-05 | DUVALL HOMES, INC. | No data |
MERGER | 2014-12-24 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000148017 |
AMENDMENT AND NAME CHANGE | 1984-12-12 | PRESBYTERIAN SPECIAL SERVICES, INC. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State