| Entity Name: | CENTRAL FLORIDA COMMUNITIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 24 May 2000 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Jun 2013 (12 years ago) |
| Document Number: | N00000003564 |
| FEI/EIN Number | 582550001 |
| Address: | 1890 STATE ROAD 436, STE. 273, 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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982766838 | 2006-12-15 | 2012-02-24 | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 327922285, US | 920 KENNEDY BLVD, ORLANDO, FL, 328106128, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-645-3211 |
| Fax | 4076282853 |
| Phone | +1 407-660-8600 |
| Fax | 4074750279 |
Authorized person
| Name | MR. TERRY W. BANGS |
| Role | PRESIDENT, DSI MANAGEMENT (MGMT. CO |
| Phone | 4076453211 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| License Number | 4039096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0285650 |
| 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 |
|---|---|---|
| DELOZIER ARTHUR C | Director | 5243 LITTLE DEBBIE PARKWAY, OOLTEWAH, TN, 373634515 |
| DUGGAN TIMOTHY A | Director | 5243 LITTLE DEBBIE PARKWAY, OOLTEWAH, TN, 373634515 |
| Name | Role | Address |
|---|---|---|
| WAGNER TODD D | Vice President | 5243 LITTLE DEBBIE PARKWAY, OOLTEWAH, TN, 373634515 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G00271900226 | HOWELL BRANCH COURT | ACTIVE | 2000-09-27 | 2025-12-31 | No data | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792 |
| G00271900225 | LAKE VIEW COURT | ACTIVE | 2000-09-27 | 2025-12-31 | No data | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792 |
| G00271900224 | WASHINGTON SQUARE | ACTIVE | 2000-09-27 | 2025-12-31 | No data | 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-14 | 1890 STATE ROAD 436, STE. 273, WINTER PARK, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-22 | 1890 STATE ROAD 436, STE. 273, WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-22 | REGISTERED AGENTS INC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-22 | 7901 4TH N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| AMENDMENT | 2013-06-14 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-06-27 | CENTRAL FLORIDA COMMUNITIES, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| Reg. Agent Change | 2023-08-22 |
| 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
