| Entity Name: | WINDWARD BEHAVIORAL CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Sep 1978 (46 years ago) |
| Date of dissolution: | 12 Jun 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Jun 2015 (10 years ago) |
| Document Number: | 744237 |
| FEI/EIN Number | 59-1849438 |
| Address: | 211 N. RIDGEWOOD AVE, STE 204, DAYTONA BEACH, FL 32114 |
| Mail Address: | P.O. BOX 2196, DAYTONA BEACH, FL 32115-2196 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023071198 | 2006-04-10 | 2014-11-21 | P.O. BOX 2196, DAYTONA BEACH, FL, 321152196, US | 245 S. AMELIA AVENUE, BLDG. A, DELAND, FL, 327245913, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-258-5050 |
| Fax | 3862523506 |
Authorized person
| Name | MARK BENSEN |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3862585050 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 324500000X |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0299804-01 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KEATING, GERARD | Agent | 318 SILVER BEACH AVE, DAYTONA BEACH, FL 32118 |
| Name | Role | Address |
|---|---|---|
| Jenkins, E G | PAST PRESIDENT | 127A East, Villa Capri Circle DeLand, FL 32724 |
| Name | Role | Address |
|---|---|---|
| White, Linda | President | 1908 Salem Court, Port Orange, FL 32738 |
| Name | Role | Address |
|---|---|---|
| Dooley, Donna | Executive Director | P.O. BOX 2196, DAYTONA BEACH, FL 32115-2196 |
| Name | Role | Address |
|---|---|---|
| Dulko, Kathleen | Treasurer | 459 Triton Road, Ormond Beach, FL 32176 |
| Name | Role | Address |
|---|---|---|
| Glugover, Jonathon | Secretary | 1301 S. Peninsula Dr., Daytona Beach, FL 32118 |
| Name | Role | Address |
|---|---|---|
| Chance, Terry | Director | 624 Park St., Eustis, FL 32726 |
| Hughes, Reid | Director | 2855 Atlantic Ave., #601 Daytona Beach Shores, FL 32118 |
| Kelton, Paula | Director | 1521 Wyngate Dr., DeLand, FL 32724 |
| Liddie, Mavis | Director | 1260 Section Line Trail, Deltona, FL 32725-6532 |
| Nelson, Amos | Director | 520 Leaf Circle, DeLand, FL 32724 |
| Newman, Scott | Director | 1093 Willow Wood Drive, Port Orange, FL 32129 |
| Treusch, Paul | Director | 1450 fort Smith Blvd., Deltona, FL 32725 |
| DUFFY, TRUDY | Director | 930 MEITZ LANE, NEW SMYRNA BEACH, FL 32168 |
| Anthony, Joan | Director | 847 Orange Avenue, DAYTONA BEACH, FL 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-06-12 | No data | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2014-09-08 | WINDWARD BEHAVIORAL CARE, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-29 | 211 N. RIDGEWOOD AVE, STE 204, DAYTONA BEACH, FL 32114 | No data |
| MERGER | 2010-05-27 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000105289 |
| MERGER NAME CHANGE | 2010-05-27 | HAVEN RECOVERY CENTER INC. | CORPORATE NAME CHANGE WAS A RESULT OF A MERGER. |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-27 | 211 N. RIDGEWOOD AVE, STE 204, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-27 | KEATING, GERARD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-27 | 318 SILVER BEACH AVE, DAYTONA BEACH, FL 32118 | No data |
| AMENDMENT | 2000-10-17 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-06-15 | SERENITY HOUSE OF VOLUSIA, INC. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-06-12 |
| ANNUAL REPORT | 2015-04-17 |
| Amended/Restated Article/NC | 2014-09-08 |
| ANNUAL REPORT | 2014-03-31 |
| AMENDED ANNUAL REPORT | 2013-08-06 |
| ANNUAL REPORT | 2013-03-01 |
| ANNUAL REPORT | 2012-01-20 |
| ANNUAL REPORT | 2011-03-29 |
| Merger | 2010-05-27 |
| ANNUAL REPORT | 2010-01-19 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
