| Entity Name: | SPACE COAST CENTER FOR INDEPENDENT LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Feb 1975 (50 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 11 Jul 1996 (29 years ago) |
| Document Number: | 731847 |
| FEI/EIN Number | 59-1744445 |
| Address: | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 |
| Mail Address: | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528326758 | 2012-04-25 | 2012-04-25 | 571 HAVERTY CT STE W, ROCKLEDGE, FL, 329553614, US | 571 HAVERTY CT STE W, ROCKLEDGE, FL, 329553614, US | |||||||||||||||||||||
|
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| Phone | +1 321-633-6011 |
| Fax | 3216336472 |
Authorized person
| Name | JILL L DUNHAM-SCHULLER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3216336011 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003421900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILES, ROSEMARY | Agent | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| GRAMOLINI, ROBERT | Treasurer | 571 HAVERTY COURT, STE A, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| MILES, ROSEMARY | Executive Director | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| MOORE, MICHELE | Director | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| PICHARDO-CRUZ, LAURA | Director | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Matson, Terry | Director | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Vinicombe, Vanessa | Director | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| GRAMOLINI, ROBERT | Secretary | 571 HAVERTY COURT, STE A, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| Jones, Leslie | President | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| Curran-Capasso, Robin | VicePresident | 571 HAVERTY COURT, STE. A ROCKLEDGE, FL 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000075485 | RESOURCE CENTER FOR DISABILITY SOLUTIONS | ACTIVE | 2019-07-11 | 2029-12-31 | No data | 571 HAVERTY COURT STE A, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-02 | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-02 | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-02 | 571 HAVERTY COURT, STE. A, ROCKLEDGE, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-10 | MILES, ROSEMARY | No data |
| NAME CHANGE AMENDMENT | 1996-07-11 | SPACE COAST CENTER FOR INDEPENDENT LIVING, INC. | No data |
| NAME CHANGE AMENDMENT | 1992-01-27 | SPACE COAST DISABILITY RIGHTS ASSOCIATION, INC. | No data |
| NAME CHANGE AMENDMENT | 1978-09-22 | SPACE COAST ASSOCIATION OF THE PHYSICALLY HANDICAPPED, INC. | No data |
| NAME CHANGE AMENDMENT | 1978-06-20 | NPF, SPACE COAST ASSOCIATION OF THE PHYSICALLY HANDICAPPED, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
