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  5. ELDER CARE SERVICES, INC.

ELDER CARE SERVICES, INC.

Company Details

Entity Name: ELDER CARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 12 Dec 1972 (52 years ago)
Document Number: 724973
FEI/EIN Number 591426079
Address: 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304, US
Mail Address: 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304, US
ZIP code: 32304
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912480393 2018-09-11 2024-09-12 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506, US 1660 N MONROE ST STE 11, TALLAHASSEE, FL, 323035558, US

Contacts
Phone +1 850-245-5925
Phone +1 850-222-4208
Fax 8502220330

Authorized person
Name KRISTEN ROSE BRIGGS
Role DIRECTOR OF HR
Phone 8502455925

Taxonomy
Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer AHCA
Number 9049
Issuer MEDICAID
Number 123218500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2023 591426079 2024-05-29 ELDER CARE SERVICES, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2022 591426079 2023-10-17 ELDER CARE SERVICES, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2023-10-17
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2021 591426079 2022-06-28 ELDER CARE SERVICES, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2020 591426079 2021-10-01 ELDER CARE SERVICES, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2020 591426079 2021-09-29 ELDER CARE SERVICES, INC. 98
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2020 591426079 2021-07-30 ELDER CARE SERVICES, INC. 98
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2019 591426079 2020-07-29 ELDER CARE SERVICES, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624200
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2018 591426079 2019-10-01 ELDER CARE SERVICES, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624100
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing RAMONA BROOKINS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF ELDER CARE SERVICES INC 2017 591426079 2018-07-09 ELDER CARE SERVICES INC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624100
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 323042506

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing LISA GIACOBBE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-09
Name of individual signing LISA GIACOBBE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDER CARE SERVICES, INC. 2016 591426079 2017-06-13 ELDER CARE SERVICES, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-03-01
Business code 624100
Sponsor’s telephone number 8509215554
Plan sponsor’s address 2518 W TENNESSEE ST, TALLAHASSEE, FL, 32304

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing LISA GIACOBBE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Fliger Jocelyne Agent 2518 WEST TENNESSEE STREET, TALLAHASSEE, FL, 32304

Chief Financial Officer

Name Role Address
Brookins Ramona Chief Financial Officer 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304

Boar

Name Role Address
Spellman Hella Boar 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304
Akanbi Monique Boar 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304
DeBoles-Johnson Paula Boar 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304

President

Name Role Address
Fliger Jocelyne President 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304

Vice President

Name Role Address
Henderson Michael Vice President 2518 W TENNESSEE ST., TALLAHASSEE, FL, 32304

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000098330 ELDER DAY STAY ACTIVE 2021-07-28 2026-12-31 No data 1660-11 NORTH MONROE STREET, TALLAHASSEE, FL, 32303
G12000004508 ELDER DAY STAY EXPIRED 2012-01-12 2017-12-31 No data 1660-11 NORTH MONROE STREET, TALLAHASSEE, FL, 32303

Events

Event Type Filed Date Value Description
AMENDMENT 1991-11-01 No data No data
NAME CHANGE AMENDMENT 1991-03-05 ELDER CARE SERVICES, INC. No data

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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