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HALIFAX HOSPICE, INC.

HALIFAX HOSPICE, INC. - Florida Company Profile

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Company Details

Entity Name:	HALIFAX HOSPICE, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active
Date Filed:	21 Dec 1984 (41 years ago)
Last Event:	AMENDED AND RESTATED ARTICLES
Event Date Filed:	11 Sep 2009 (16 years ago)
Document Number:	N06783
FEI/EIN Number	592661284
Address:	3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 32119, US
Mail Address:	303 N. CLYDE MORRIS BLVD., ATTN: LEGAL DEPT., DAYTONA BEACH, FL, 32114, US
ZIP code:	32119
City:	Daytona Beach
County:	Volusia
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
FEASEL JEFF	President	303 NORTH CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114
MCCALL TOM	Director	2379 BEVILLE ROAD, DAYTONA BEACH, FL, 32119
Munier Michael	Director	83 N. St. Andrews Dr., Ormond Beach, FL, 32174
RITCHEY GLENN	Director	551 NORTH NOVA ROAD, DAYTONA BEACH, FL, 32114
GOODEMOTE HAROLD	Director	619 NORTH BEACH STREET, DAYTONA BEACH, FL, 32114
Florez Alan	Director	225 Landmark Cr., Ormond Beach, FL, 32176
KWIATEK KELLY	Agent	303 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114

Unique Entity ID

Unique Entity ID:

HBFLCETLXT63

CAGE Code:

6HGZ9

UEI Expiration Date:

2026-02-06

Business Information

Doing Business As:

HALIFAX HOSPICE INC

URL:

www.halifaxhealth.org/hospice

Division Name:

HALIFAX HOSPICE INC.

Activation Date:

2025-02-10

Initial Registration Date:

2011-08-22

Commercial and government entity program

CAGE number:

6HGZ9

Status:

Obsolete

Type:

Non-Manufacturer

CAGE Update Date:

2025-02-10

SAM Expiration:

2026-02-06

Contact Information

POC:

LISA TYLER

Corporate URL:

www.halifaxhealth.org/hospice

National Provider Identifier

NPI Number:

1376510065

Link:

View on NPI website

Authorized Person:

Name:

MRS. FRANCES F DAVIS

Role:

EXECUTIVE DIRECTOR

Phone:

3863224701

Taxonomy:

Selected Taxonomy:

251G00000X - Community Based Hospice Care Agency

Is Primary:

Yes

Contacts:

Phone:

+1 386-322-4701

Fax:

3863224702

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G14000104434	HALIFAX HEALTH HOSPICE	ACTIVE	2014-10-15	2029-12-31	-	3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 32129
G09000106894	LAWRENCE E. WHELAN BEGINAGAIN CHILDREN'S GRIEF CENTER	ACTIVE	2009-05-13	2029-12-31	-	C/O LEGAL DEPARTMENT, 303 NORTH CLYDE MORRIS BOULEVARD, DAYTONA BEACH, FL, 32114
G08121700057	HALIFAX HEALTH HOSPICE OF VOLUSIA/FLAGLER	ACTIVE	2008-04-30	2028-12-31	-	303 NORTH CLYDE MORRIS BOULEVARD, DAYTONA BEACH, FL, 32114
G04245700058	FAMILY CAREGIVER PROGRAM	ACTIVE	2004-09-01	2029-12-31	-	C/O HMC LEGAL DEPARTMENT, 303 N. CLYDE MORRIS, DAYTONA BEACH, FL, 32114

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2019-02-26	KWIATEK, KELLY	-
AMENDED AND RESTATEDARTICLES	2009-09-11	-	-
CHANGE OF PRINCIPAL ADDRESS	2002-04-11	3800 WOODBRIAR TRAIL, PORT ORANGE, FL 32119	-
CHANGE OF MAILING ADDRESS	2000-02-04	3800 WOODBRIAR TRAIL, PORT ORANGE, FL 32119	-
REGISTERED AGENT ADDRESS CHANGED	1993-05-01	303 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114	-
REINSTATEMENT	1987-12-15	-	-
INVOLUNTARILY DISSOLVED	1987-11-16	-	-
AMENDMENT	1987-06-25	-	-
AMENDMENT	1985-09-04	-	-

Documents

Name	Date
ANNUAL REPORT	2025-01-14
ANNUAL REPORT	2024-02-26
ANNUAL REPORT	2023-03-21
ANNUAL REPORT	2022-03-10
ANNUAL REPORT	2021-03-02
ANNUAL REPORT	2020-03-16
ANNUAL REPORT	2019-02-26
ANNUAL REPORT	2018-04-05
ANNUAL REPORT	2017-03-08
ANNUAL REPORT	2016-03-14

Tax Exempt

Employer Identification Number (EIN) :

59-2661284

In Care Of Name:

% PAYROLL

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

1987-09

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 01 Jul 2025

Sources: Florida Department of State