| Entity Name: | CENTRAL FLORIDA GROUP HOMES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2000 (24 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Apr 2024 (10 months ago) |
| Document Number: | L00000014104 |
| FEI/EIN Number | 582587566 |
| Address: | 1890 State Road 436, Winter Park, FL, 32792, US |
| Mail Address: | 5243 Little Debbie Parkway, Ooltewah, TN, 37363, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043362031 | 2007-01-18 | 2014-06-02 | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 327922285, US | 1890 STATE ROAD 436 STE 295, WINTER PARK, FL, 327922285, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-645-3211 |
| Fax | 4076282853 |
| Phone | +1 321-280-7023 |
| Fax | 3212807035 |
Authorized person
| Name | MR. KENNETH H. SCHULTZ |
| Role | PRESIDENT-DSI MANAGEMENT (MGMT. CO) |
| Phone | 4076453211 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 7G262A |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 680598196 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| WALDROP MARK A | President | 5243 LITTLE DEBBIE PARKWAY, OOLTEWAH, TN, 373634515 |
| Name | Role | Address |
|---|---|---|
| WAGNER TODD D | Vice President | 5243 LITTLE DEBBIE PARKWAY, OOLTEWAH, TN, 373634515 |
| Name | Role |
|---|---|
| CENTRAL FLORIDA COMMUNITIES, INC. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-04-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 1890 State Road 436, Suite 295, Winter Park, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | Registered Agents Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-05 | 7901 4th Street N, Suite 300, St Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 1890 State Road 436, Suite 295, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-04-15 |
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
