| Entity Name: | DAVIDS HOLISTIC CARE CENTER 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: | 17 May 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | N12000005007 |
| FEI/EIN Number |
451058188
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | President | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| WADE DAVID C | Treasurer | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| WADE DAVID C | Director | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| WADE MALIK A | Treasurer | 1400 JEFFERSON STREET, NEW SMYRNA BEACH, FL, 32818 |
| O'NEAL SHLIAL | Secretary | 7200 NW 2ND AVE UNIT 52, BOCA RATON, FL, 33487 |
| WADE DAVID C | Agent | 4623 EBONY STREET, ORLANDO, FL, 32811 |
| WADE DORETHA F | Treasurer | 1400 JEFFERSON STREET, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | - |
| CHANGE OF MAILING ADDRESS | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-08-06 | 4623 EBONY STREET, ORLANDO, FL 32811 | - |
| REINSTATEMENT | 2014-03-03 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| AMENDMENT | 2012-07-13 | - | - |
| 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 Apr 2025
Sources: Florida Department of State
