| Entity Name: | NEW BREED CREATION LIFE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 19 Oct 2000 (24 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 06 Aug 2013 (11 years ago) |
| Document Number: | N00000006971 |
| FEI/EIN Number | 593676657 |
| Address: | 11555 Central Parkway, 601, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 11555 Central Parkway, 601, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588269310 | 2020-12-01 | 2020-12-01 | 7035 PHILIPS HWY STE 11, JACKSONVILLE, FL, 322166071, US | 7035 PHILIPS HWY STE 11, JACKSONVILLE, FL, 322166071, US | |||||||||||||||||||||
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| Phone | +1 904-253-3429 |
Authorized person
| Name | TIFFANY HART |
| Role | BILLING & CREDENTIALING SPECIALIST |
| Phone | 9043007494 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOODMAN ENOLA M | Agent | 10453 GREENVILLE ROAD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| GOODMAN ENOLA M | President | 10453 GREENVILLE ROAD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| BOWENS SHARON W | Secretary | 11054 N. CAMPUS BLVD., JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| GOODMAN ERAKAL Dr. | Treasurer | 4631 Camp Creek Lane, Orange Park, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| JONES JUNE P | Vice President | 1325 COUNTRYRIDGE PLACE, ORLANDO, FL, 32835 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000081370 | COMMUNITY BUILDER'S HEALTH AND WELLNESS CENTER | ACTIVE | 2020-07-11 | 2025-12-31 | No data | 4631 CAMP CREEK LANE, ORANGE PARK, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-15 | 11555 Central Parkway, 601, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-15 | 11555 Central Parkway, 601, JACKSONVILLE, FL 32224 | No data |
| AMENDMENT AND NAME CHANGE | 2013-08-06 | NEW BREED CREATION LIFE CENTER, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2009-03-25 | HIDDEN SEED KINGDOM DEVELOPMENT CENTER, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-06 | 10453 GREENVILLE ROAD, JACKSONVILLE, FL 32256 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-06 | GOODMAN, ENOLA M | No data |
| NAME CHANGE AMENDMENT | 2004-12-15 | HIDDEN SEED CHRISTIAN ASSEMBLY, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
