| Entity Name: | LIBERTY COMMUNITY HEALTH CARE, 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: | 30 Nov 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | N06000012303 |
| FEI/EIN Number |
38-3889502
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 17316 NE SR 65, HOSFORD, FL, 32334, US |
| Mail Address: | P.O. BOX 175, Hosford, FL, 32334, US |
| ZIP code: | 32334 |
| County: | Liberty |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962875435 | 2015-11-05 | 2017-01-04 | 17316 NE STATE ROAD 65, HOSFORD, FL, 323342415, US | 17316 NE STATE ROAD 65, HOSFORD, FL, 323342415, US | |||||||||||||||||||||||||
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| Phone | +1 850-379-5800 |
| Fax | 8503795811 |
Authorized person
| Name | MRS. PEGGY DEASON HOWLAND |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8503795800 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS7759 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016050000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Clark Michael | Chairman | P.O. BOX 175, Hosford, FL, 32334 |
| Meeks Heber | Co | P.O. BOX 175, Hosford, FL, 32334 |
| Meeks Heber | Chairman | P.O. BOX 175, Hosford, FL, 32334 |
| Money Walter | Treasurer | P.O. BOX 175, Hosford, FL, 32334 |
| FORD STEPHEN | Secretary | 17316 NE SR 65, Hosford, FL, 32334 |
| Howland Peggy D | Agent | 20277 NE Hentz Ave, Blountstown, FL, 32424 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-30 | Howland, Peggy Deason | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-01 | 20277 NE Hentz Ave, Blountstown, FL 32424 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-14 | 17316 NE SR 65, HOSFORD, FL 32334 | - |
| CHANGE OF MAILING ADDRESS | 2013-02-21 | 17316 NE SR 65, HOSFORD, FL 32334 | - |
| AMENDMENT | 2009-07-02 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-02-24 |
| AMENDED ANNUAL REPORT | 2013-03-11 |
| ANNUAL REPORT | 2013-02-21 |
| ANNUAL REPORT | 2012-04-30 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C81CS14198 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-06-29 | 2011-06-28 | ARRA - CAPITAL IMPROVEMENT PROGRAM | |||||||||||||||||||||
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| H8BCS11727 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-03-27 | 2011-03-26 | ARRA - INCREASE SERVICES TO HEALTH CENTERS | |||||||||||||||||||||
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| H80CS08227 | Department of Health and Human Services | 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) | 2007-07-01 | 2013-04-30 | HEALTH CENTER CLUSTER | |||||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6399007308 | 2020-04-30 | 0491 | PPP | 17316 NE State Rd 65, HOSFORD, FL, 32334 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
