| Entity Name: | OSCEOLA DEVELOPMENTAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 07 Aug 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | N08000007445 |
| FEI/EIN Number | 263129624 |
| Address: | 1600 Tail Feather dr, Kissimmee, FL, 34746, US |
| Mail Address: | 1600 Tail Feather dr, Kissimmee, FL, 34746, US |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700301678 | 2017-08-11 | 2022-07-21 | 229 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414983, US | 229 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347414983, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-350-5964 |
| Fax | 4074420737 |
Authorized person
| Name | CARLOS I RODRIGUEZ |
| Role | ADM |
| Phone | 4073505964 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | Yes |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006601300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CARLOS I | Agent | 1600 Tail Feather dr, Kissimmee, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CARLOS I | President | 1600 Tail Feather dr, Kissimmee, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| ZAVALA ANA E | Vice President | 1600 Tail Feather dr, Kissimmee, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Lisa B | Secretary | 1600 Tail Feather dr, Kissimmee, FL, 34746 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Zavala Michael | Officer | 1600 Tail Feather dr, Kissimmee, FL, 34746 |
| Rodriguez kevin | Officer | 1600 Tail Feather dr, kissimmee, FL, 34746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-27 | 1600 Tail Feather dr, Kissimmee, FL 34746 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-27 | 1600 Tail Feather dr, Kissimmee, FL 34746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 1600 Tail Feather dr, Kissimmee, FL 34746 | No data |
| AMENDMENT | 2012-10-03 | No data | No data |
| AMENDMENT | 2010-08-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-01-23 |
| AMENDED ANNUAL REPORT | 2015-07-05 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
