| Entity Name: | ADVOCATE DEVELOPMENTAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 31 Mar 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Jun 2022 (3 years ago) |
| Document Number: | N14000003109 |
| FEI/EIN Number | 465288471 |
| Address: | 7050 holly street, Mount Dora, FL, 32757, US |
| Mail Address: | 7050 holly street, Mount Dora, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821637166 | 2020-01-03 | 2020-01-03 | PO BOX 1113, ZELLWOOD, FL, 327981113, US | 7050 HOLLY ST, MOUNT DORA, FL, 327577413, US | |||||||||||||||||||
|
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| Phone | +1 407-937-9308 |
Authorized person
| Name | MS. SIMONE LOWMAN |
| Role | OWNER AND OPERATOR |
| Phone | 4079379308 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100913100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOWMAN SIMONE M | Agent | 7050 holly street, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| LOWMAN SIMONE M | President | 7050 holly street, Mount Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| LOWMAN LORETTA O | Vice President | 3860 NORTH ORANGE BLOSSOM TRAIL, ZELLWOOD, FL, 32798 |
| Name | Role | Address |
|---|---|---|
| MARS TAWANTA S | Secretary | 3626 CILIA STREET, ZELLWOOD, FL, 32798 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN FREDRICK | Treasurer | 1147 S PARK AVE, APOPKA, FL, 32703 |
| Name | Role | Address |
|---|---|---|
| ALLEN TANYA | Director | PO BOX 1113, ZELLWOOD, FL, 32798 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000048402 | HOLLY STREET GROUP HOME | ACTIVE | 2024-04-10 | 2029-12-31 | No data | 7050 HOLLY STREET, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 7050 holly street, Mount Dora, FL 32757 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 7050 holly street, Mount Dora, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 7050 holly street, Mount Dora, FL 32757 | No data |
| AMENDMENT | 2022-06-03 | No data | No data |
| AMENDMENT | 2022-02-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-31 | LOWMAN, SIMONE M | No data |
| REINSTATEMENT | 2017-01-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-23 |
| Amendment | 2022-06-03 |
| ANNUAL REPORT | 2022-03-23 |
| Amendment | 2022-02-04 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-06 |
| REINSTATEMENT | 2017-01-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
