| Entity Name: | THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 14 Apr 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Feb 2011 (14 years ago) |
| Document Number: | N10000003751 |
| FEI/EIN Number | 272419741 |
| Address: | USFDRC: National Corporation Office, 4700 Millenia Blvd., ORLANDO, FL, 32839-6015, US |
| Mail Address: | USFDRC: National Corporation Office, 4700 Millenia Blvd., ORLANDO, FL, 32839-6015, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154891422 | 2018-11-29 | 2022-04-07 | 4700 MILLENIA BLVD STE 175, ORLANDO, FL, 328396015, US | 4700 MILLENIA BLVD STE 175, ORLANDO, FL, 328396015, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fax | 8664930920 |
Authorized person
| Name | CARMELO BAEZ |
| Role | CEO/NCMDR |
| Phone | 3213327100 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 251V00000X - Voluntary or Charitable Agency |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Taxonomy Code | 374K00000X - Religious Nonmedical Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BEACON HEALTH OPTIONS |
| Number | 1060527 |
| State | FL |
| Issuer | MEDICAID |
| Number | 104797200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 101541400 |
| State | FL |
| Issuer | FIRST COST SERVICES OPTIONS |
| Number | M5945 |
| State | FL |
| Issuer | WELLCARE |
| Number | 161242 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAEZ CAROLINA | Agent | USFDRC: National Corporation Office, ORLANDO, FL, 328396015 |
| Name | Role | Address |
|---|---|---|
| BAEZ CAROLINA | Boar | USFDRC: National Corporation Office, ORLANDO, FL, 328396015 |
| Name | Role | Address |
|---|---|---|
| BAEZ CARMELO | Chie | USFDRC: National Corporation Office, ORLANDO, FL, 328396015 |
| Name | Role | Address |
|---|---|---|
| Baez Andre | Admi | USFDRC: National Corporation Office, ORLANDO, FL, 328396015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | USFDRC: National Corporation Office, 4700 Millenia Blvd., Suite 175, ORLANDO, FL 32839-6015 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | USFDRC: National Corporation Office, 4700 Millenia Blvd., Suite 175, ORLANDO, FL 32839-6015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-30 | USFDRC: National Corporation Office, 4700 Millenia Blvd., Suite 175, ORLANDO, FL 32839-6015 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-10 | BAEZ, CAROLINA | No data |
| AMENDMENT | 2011-02-15 | No data | No data |
| AMENDMENT | 2011-01-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-26 |
| AMENDED ANNUAL REPORT | 2015-12-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
