| Entity Name: | HOSPICE OF THE PALM COAST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Oct 2003 (22 years ago) |
| Date of dissolution: | 28 Oct 2009 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Oct 2009 (15 years ago) |
| Document Number: | N03000009293 |
| FEI/EIN Number |
200384141
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 149 S. RIDGEWOOD AVE, SUITE 400, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 149 S. RIDGEWOOD AVE, SUITE 400, DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912932948 | 2006-07-11 | 2009-08-25 | 717 N HARWOOD ST, SUITE 1500, DALLAS, TX, 752016519, US | 6161 BLUE LAGOON DRIVE, SUITE 170, MIAMI, FL, 331262045, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 214-922-9711 |
| Fax | 2149229752 |
| Phone | +1 786-388-1400 |
| Fax | 7863881401 |
Authorized person
| Name | MR. RODNEY DIRK ALLISON |
| Role | SR VP & CFO |
| Phone | 2149229711 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 50370970 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 150019800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| ALLISON R D | SVPC | 717 N HARWOOD, DALLAS, TX, 75201 |
| BICKHAM BRAD | VPGC | 717 N HARWOOD, STE 1500, DALLAS, TX, 75201 |
| FLYNN GREG | Vice President | 717 N HARWOOD, STE 1500, DALLAS, TX, 75201 |
| FLYNN GREG | Controller | 717 N HARWOOD, STE 1500, DALLAS, TX, 75201 |
| LEFTON ROBERT | President | 717 N HARWOOD, STE 1500, DALLAS, TX, 75201 |
| LEFTON ROBERT | Chief Executive Officer | 717 N HARWOOD, STE 1500, DALLAS, TX, 75201 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-10-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-21 | 149 S. RIDGEWOOD AVE, SUITE 400, DAYTONA BEACH, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2006-03-21 | 149 S. RIDGEWOOD AVE, SUITE 400, DAYTONA BEACH, FL 32114 | - |
| REGISTERED AGENT NAME CHANGED | 2005-08-09 | CT CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-08-09 | 1200 S. PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2009-10-28 |
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-09-09 |
| ANNUAL REPORT | 2007-05-09 |
| ANNUAL REPORT | 2006-03-21 |
| Reg. Agent Change | 2005-08-09 |
| ANNUAL REPORT | 2005-02-01 |
| ANNUAL REPORT | 2004-03-12 |
| Domestic Non-Profit | 2003-10-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
