| Entity Name: | HOSPICE OF HEALTH FIRST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 16 Aug 1978 (46 years ago) |
| Document Number: | 743945 |
| FEI/EIN Number | 591911574 |
| Address: | 1131 W. New Haven Avenue, WEST MELBOURNE, FL, 32904, US |
| Mail Address: | 1131 W. New Haven Avenue, WEST MELBOURNE, FL, 32904, US |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518927797 | 2006-03-23 | 2024-08-02 | 1131 W NEW HAVEN AVE STE 102, WEST MELBOURNE, FL, 329044055, US | 1131 W NEW HAVEN AVE STE 102, WEST MELBOURNE, FL, 329044110, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 321-434-1744 |
| Fax | 3214343261 |
Authorized person
| Name | MR. TERRY FORDE |
| Role | CEO |
| Phone | 3214345651 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | HPC50090961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 087522800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Romanello Nicholas WEsq. | Agent | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| Romanello Nicholas WEsq. | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Childs Madeline S | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| PETERSEN ROBIN M | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Letherby Frank S | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Foerste Derly | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Brownlie Michael C | Director | 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000111443 | WILLIAM CHILDS HOSPICE HOUSE | ACTIVE | 2015-11-02 | 2025-12-31 | No data | C/O CORPORATE LEGAL, 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-05-27 | No data | No data |
| RESTATED ARTICLES | 2002-11-05 | No data | No data |
| RESTATED ARTICLES AND NAME CHANGE | 1998-01-20 | HOSPICE OF HEALTH FIRST, INC. | No data |
| RESTATED ARTICLES | 1997-03-27 | No data | No data |
| RESTATED ARTICLES | 1993-09-30 | No data | No data |
| AMENDMENT | 1993-09-16 | No data | No data |
| AMENDMENT | 1989-06-01 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-04-28 | HOLMES REGIONAL HOSPICE, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1984-12-06 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hospice of Health First, Inc., Appellant(s), v. Corin Rose Lee Harrison and Terrie Lynn Rada, Appellee(s). | 5D2024-3469 | 2024-12-18 | Open | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Name | HOSPICE OF HEALTH FIRST, INC. |
| Role | Appellant |
| Status | Active |
| Representations | Andrew Steven Bolin, Chizom Jachim Okebugwu |
| Name | Corin Rose Lee Harrison |
| Role | Appellee |
| Status | Active |
| Representations | Eric Sandford Gillin |
| Name | Terrie Lynn Rada |
| Role | Appellee |
| Status | Active |
| Representations | Virgil William Wright, III, David Alan Fifner |
| Name | Hon. Benjamin Behnam Garagozlo |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Brevard Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2024-12-19 |
| Type | Event |
| Subtype | Fee Paid Through Portal |
| Description | Fee Paid Through Portal |
| On Behalf Of | Hospice of Health First, Inc. |
| View | View File |
| Docket Date | 2024-12-19 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Amended Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-12-18 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order on Filing Fee |
| View | View File |
| Docket Date | 2024-12-18 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-12-18 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal - Filed Below 12/16/2024 |
| On Behalf Of | Hospice of Health First, Inc. |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
