| Entity Name: | MENTAL HEALTH CENTER OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Jul 1967 (58 years ago) |
| Date of dissolution: | 05 Dec 2014 (10 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 05 Dec 2014 (10 years ago) |
| Document Number: | 713096 |
| FEI/EIN Number | 59-0879642 |
| Address: | 10550 DEERWOOD PARK BOULEVARD, SUITE 600, JACKSONVILLE, FL 32256 |
| Mail Address: | P.O. BOX 19189, JACKSONVILLE, FL 32245-9189 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366558132 | 2006-08-22 | 2015-01-26 | PO BOX 19189, JACKSONVILLE, FL, 322459189, US | 3333 W 20TH ST, JACKSONVILLE, FL, 322541703, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-743-1883 |
| Fax | 9047435109 |
| Phone | +1 904-695-9145 |
| Fax | 9046952465 |
Authorized person
| Name | MR. ROBERT SOMMERS |
| Role | PRESIDENT AND CEO |
| Phone | 9047431883 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 060366002 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060366000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOMMERS, ROBERT A | Agent | 10550 DEERWOOD PARK BOULEVARD, SUITE 600, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| GREGORY, E.C. | Chairman | 12874 DUNES COURT, JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| GREGORY, E.C. | Director | 12874 DUNES COURT, JACKSONVILLE, FL 32225 |
| OWEN, GEORGE | Director | 261 Cranes Lake Drive, Ponte Vedra Beach, FL 32082 |
| JARRETT, MARY | Director | 1633 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204 |
| BASS, ROBIN | Director | 4115 ALHAMBRA DRIVE WEST, JACKSONVILLE, FL 32207 |
| SOMMERS, ROBERT | Director | 10550 DEERWOOD PARK BOULEVARD, JACKSONVILLE, FL 32256 |
| Johnson, Henry, Jr. | Director | 8933 Elizabeth Falls Drive, JACKSONVILLE, FL 32257 |
| Name | Role | Address |
|---|---|---|
| OWEN, GEORGE | Vice Chairman | 261 Cranes Lake Drive, Ponte Vedra Beach, FL 32082 |
| Name | Role | Address |
|---|---|---|
| JARRETT, MARY | Secretary | 1633 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204 |
| Name | Role | Address |
|---|---|---|
| BASS, ROBIN | Treasurer | 4115 ALHAMBRA DRIVE WEST, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| SOMMERS, ROBERT | President | 10550 DEERWOOD PARK BOULEVARD, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| SOMMERS, ROBERT | Chief Executive Officer | 10550 DEERWOOD PARK BOULEVARD, JACKSONVILLE, FL 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2014-12-05 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 739141. MERGER NUMBER 500000146985 |
| NAME CHANGE AMENDMENT | 2014-01-14 | MENTAL HEALTH CENTER OF JACKSONVILLE, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-06 | SOMMERS, ROBERT A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-23 | 10550 DEERWOOD PARK BOULEVARD, SUITE 600, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-23 | 10550 DEERWOOD PARK BOULEVARD, SUITE 600, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 1999-01-22 | 10550 DEERWOOD PARK BOULEVARD, SUITE 600, JACKSONVILLE, FL 32256 | No data |
| AMENDED AND RESTATEDARTICLES | 1997-02-28 | No data | No data |
| REINSTATEMENT | 1992-01-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1991-10-11 | No data | No data |
| AMENDMENT | 1991-02-04 | No data | No data |
| Name | Date |
|---|---|
| Name Change | 2014-01-14 |
| ANNUAL REPORT | 2014-01-06 |
| ANNUAL REPORT | 2013-01-03 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-04 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-02-11 |
| ANNUAL REPORT | 2007-02-01 |
| ANNUAL REPORT | 2006-01-12 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
