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ONE HOPE UNITED - FLORIDA REGION INC.

Company Details

Entity Name: ONE HOPE UNITED - FLORIDA REGION INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 19 Jul 2002 (23 years ago)
Document Number: N02000005605
FEI/EIN Number 542082539
Address: 5749 WESTGATE DRIVE, SUITE 202, ORLANDO, FL, 32835, US
Mail Address: 5749 WESTGATE DRIVE, SUITE 202, ORLANDO, FL, 32835, US
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699951574 2008-01-10 2010-02-23 10720 CARIBBEAN BLVD, SUITE 500, CUTLER BAY, FL, 33189, US 10720 CARIBBEAN BLVD, SUITE 330, CUTLER BAY, FL, 33189, US

Contacts

Phone +1 786-573-9000
Fax 7865739003
Phone +1 786-712-0492
Fax 7862425080

Authorized person

Name MRS. JOLENE M. PALAZOO-FORD
Role BUSINESS MANAGER-FLORIDA REGION
Phone 4073992038

Taxonomy

Taxonomy Code 101Y00000X - Counselor
License Number SW5817
State FL
Is Primary Yes
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number SW5817
State FL
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 076043900
State FL
Issuer MEDICAID
Number 0760439 00
State FL

Agent

Name Role Address
HORNER EVA Agent 5749 WESTGATE DRIVE, ORLANDO, FL, 32835

Director

Name Role Address
SPREHE GREGORY Director 5749 WESTGATE DRIVE, ORLANDO, FL, 32835
HUMPHREY SCOTT Director 5749 WESTGATE DRIVE, ORLANDO, FL, 32835
HOFFMAN CHRISTOPHER Director 5749 WESTGATE DRIVE, ORLANDO, FL, 32835

Secretary

Name Role Address
MARTINEZ KRISTINA Secretary 5749 WESTGATE DRIVE, ORLANDO, FL, 32835

Treasurer

Name Role Address
McCONNELL DAVID Treasurer 5749 WESTGATE DRIVE, ORLANDO, FL, 32835

Executive

Name Role Address
HORNER EVA Executive 5749 Westgate Drive, FL, FL, 32835

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000167716 SOUTH DADE CHILDREN'S RESOURCE NETWORK EXPIRED 2009-10-22 2014-12-31 No data 10720 CARIBBEAN BLVD., STE. 500, CUTLER BAY, FL, 33189
G09000163231 KIDS HOPE UNITED-FLORIDA REGIONS, INC. EXPIRED 2009-10-08 2014-12-31 No data 10720 CARIBBEAN BLVD., STE. 500, CUTLER BAY, FL, 33189
G08066900336 SOUTH DADE CHILDREN'S RESOURCE NETWORK EXPIRED 2008-03-06 2013-12-31 No data 10720 CARIBBEAN BOULEVARD, SUITE 500, MIAMI, FL, 33189

Events

Event Type Filed Date Value Description
MERGER 2017-06-09 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS F17000000594. MERGER NUMBER 500000172215
REINSTATEMENT 2015-10-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
NAME CHANGE AMENDMENT 2009-10-08 ONE HOPE UNITED - FLORIDA REGION INC. No data
NAME CHANGE AMENDMENT 2005-02-08 KIDS HOPE UNITED-FLORIDA REGION, INC. No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State