| Entity Name: | DAVIDS HOLISTIC CARE CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 17 May 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | N12000005007 |
| FEI/EIN Number | 451058188 |
| Address: | 4623 EBONY STREET, ORLANDO, FL, 32811, US |
| Mail Address: | 4623 EBONY STREET, ORLANDO, FL, 32811, US |
| ZIP code: | 32811 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861880973 | 2014-12-26 | 2015-09-28 | 4623 EBONY ST, ORLANDO, FL, 328113823, US | 4623 EBONY ST, ORLANDO, FL, 328113823, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-990-6333 |
| Fax | 3212064502 |
Authorized person
| Name | MR. DAVID WADE |
| Role | OWNER |
| Phone | 4079906333 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007902900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 232909 |
| State | FL |
| Issuer | MEDICAID |
| Number | 007902901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WADE DAVID C | Agent | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| Name | Role | Address |
|---|---|---|
| WADE DAVID C | President | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| Name | Role | Address |
|---|---|---|
| WADE DAVID C | Treasurer | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| WADE DORETHA F | Treasurer | 1400 JEFFERSON STREET, NEW SMYRNA BEACH, FL, 32168 |
| WADE MALIK A | Treasurer | 1400 JEFFERSON STREET, NEW SMYRNA BEACH, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| WADE DAVID C | Director | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| Name | Role | Address |
|---|---|---|
| O'NEAL SHLIAL | Secretary | 7200 NW 2ND AVE UNIT 52, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | No data |
| CHANGE OF MAILING ADDRESS | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | No data |
| REINSTATEMENT | 2014-03-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2012-07-13 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000776967 | ACTIVE | 1000000725644 | ORANGE | 2016-11-04 | 2026-12-08 | $ 1,393.52 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-09-17 |
| Reg. Agent Change | 2014-08-06 |
| REINSTATEMENT | 2014-03-03 |
| Amendment | 2012-07-13 |
| Domestic Non-Profit | 2012-05-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
