| Entity Name: | THE SHEPHERD'S GARDEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 02 Oct 2002 (22 years ago) |
| Document Number: | N02000007595 |
| FEI/EIN Number | 371447197 |
| Address: | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| Mail Address: | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| ZIP code: | 34212 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306149349 | 2010-12-14 | 2010-12-14 | 12709 DAISY PLACE, BRADENTON, FL, 342122959, US | 12709 DAISY PL, BRADENTON, FL, 342122959, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 941-708-9023 |
Authorized person
| Name | LORRAINE BIRD-TURNER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9417089023 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 686251996 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 686251901 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 686251996 |
| State | FL |
| Issuer | MEDICAID |
| Number | 686251901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TURNER ROBERT H | Agent | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| TURNER ROBERT H | President | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| TURNER ROBERT H | Director | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| KLINE GAIL Y | Director | 1250-B CARLTON ARMS CIRCLE, BRADENTON, FL, 34208 |
| GILLIS NICHOLE M | Director | 1250-B CARLTON ARMS CIRCLE, BRADENTON, FL, 34208 |
| BIRD-TURNER LORRAINE | Director | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| BIRD-TURNER LORRAINE | Treasurer | 12709 DAISY PLACE, BRADENTON, FL, 34212 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08343700013 | THE SHEPHERD'S DEN | EXPIRED | 2008-12-08 | 2013-12-31 | No data | 2412 MANATEE AVE. E., BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-10-21 | THE SHEPHERD'S GARDEN, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
