| Entity Name: | VICTORY COMMUNITY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 May 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Jun 2010 (15 years ago) |
| Document Number: | N02000003751 |
| FEI/EIN Number | 300201426 |
| Address: | 20515 NW 21ND AVE, MIAMI GARDENS, FL, 33056, US |
| Mail Address: | P. O. Box 552190, MIAMI GARDENS, FL, 33055, US |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174990162 | 2015-08-26 | 2015-08-26 | 20535 NW 2ND AVE, SUITE 202, MIAMI GARDENS, FL, 331692547, US | 20535 NW 2ND AVE, SUITE 202, MIAMI GARDENS, FL, 331692547, US | |||||||||||||||||||||||||
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| Phone | +1 305-974-5299 |
| Fax | 7863206026 |
Authorized person
| Name | VICTOR AMAECHI MINIKWU SR. |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3059745299 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 012287100 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012287100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MINIKWU VICTOR | Agent | 20515 NW 2ND AVE, MIAMI GARDENS, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| MINIKWU VICTOR | President | 20515 NW 21 AVE, MIAMI, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| MILLS VANESSA | Director | 10033 NW 22ND AVE., MIAMI, FL, 33147 |
| James Emmanuel O | Director | 2505 E. Wilshire Drive, Miramar, FL, 33025 |
| Adeniji Femi | Director | 7516 NW 42nd Court, Coral Springs, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-05 | 20515 NW 2ND AVE, MIAMI GARDENS, FL 33569 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-05 | 20515 NW 21ND AVE, MIAMI GARDENS, FL 33056 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-09 | 20515 NW 21ND AVE, MIAMI GARDENS, FL 33056 | No data |
| AMENDMENT | 2010-06-02 | No data | No data |
| CANCEL ADM DISS/REV | 2009-11-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2003-10-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-09-22 |
| ANNUAL REPORT | 2022-05-06 |
| ANNUAL REPORT | 2021-06-29 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-07-30 |
| ANNUAL REPORT | 2017-04-12 |
| AMENDED ANNUAL REPORT | 2016-05-09 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
