| Entity Name: | W.O.R.C. HAVEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Dec 1982 (42 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 18 Apr 2017 (8 years ago) |
| Document Number: | 766212 |
| FEI/EIN Number |
59-2274454
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9040 SUNSET DRIVE, MIAMI, FL, 33173, US |
| Mail Address: | 9040 SUNSET DRIVE, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568997849 | 2017-04-25 | 2017-04-25 | 9040 SUNSET DR, MIAMI, FL, 331733432, US | 1090 JIMMY ANN DR, DAYTONA BEACH, FL, 321174591, US | |||||||||||||||||||||||||
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| Phone | +1 305-596-9040 |
| Fax | 3052753345 |
| Phone | +1 386-274-4228 |
| Fax | 3862564874 |
Authorized person
| Name | KAREN DAVIDSON |
| Role | SECRETARY/TREASURER/CFO |
| Phone | 3052733023 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140559400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VANCE Kevin E | Director | 3160 NE 27th Ave., Lighthouse Point, FL, 33064 |
| Wray Zachary S | President | 9040 Sunset Drive, Miami, FL, 33173 |
| Dormann Jameson | Secretary | 9040 SUNSET DRIVE, MIAMI, FL, 33173 |
| Potter Sherri L | Asst | 9040 SUNSET DRIVE, MIAMI, FL, 33173 |
| Crowther Connie | Director | 9040 SUNSET DR., Miami, FL, 33173 |
| Coker Robert E | Director | 9040 SUNSET DRIVE, MIAMI, FL, 33173 |
| WRAY ZACHARY A | Agent | 9040 SUNSET DRIVE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-04-18 | 9040 SUNSET DRIVE, MIAMI, FL 33173 | - |
| AMENDED AND RESTATEDARTICLES | 2017-04-18 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-18 | 9040 SUNSET DRIVE, MIAMI, FL 33173 | - |
| REGISTERED AGENT NAME CHANGED | 2017-04-18 | WRAY, ZACHARY A | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-18 | 9040 SUNSET DRIVE, MIAMI, FL 33173 | - |
| CANCEL ADM DISS/REV | 2006-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| AMENDMENT | 1986-03-28 | - | - |
| AMENDMENT | 1984-11-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-03 |
| AMENDED ANNUAL REPORT | 2021-09-08 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-02-14 |
| AMENDED ANNUAL REPORT | 2017-10-27 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FL29T841006-10Z | Department of Housing and Urban Development | 14.195 - SECTION 8 HOUSING ASSISTANCE PAYMENTS PROGRAM | 2010-07-07 | 2011-08-28 | CONT RENEWALS ALL TYPES | |||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
