| Entity Name: | POSITIVE ASSISTANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 Jun 2015 (10 years ago) |
| Document Number: | N15000006016 |
| FEI/EIN Number | 47-4123018 |
| Address: | 750 S. Orange Blossom Trail, Orlando, FL, 32805, US |
| Mail Address: | 7156 W Colonial Drive, DBA: Inclusive Care Of Orlando, Orlando, FL, 32818, US |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023608999 | 2021-01-24 | 2022-07-19 | 7156 W COLONIAL DR, ORLANDO, FL, 328186751, US | 7156 W COLONIAL DR, ORLANDO, FL, 328186751, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-412-6569 |
| Fax | 4079309443 |
| Phone | +1 407-993-6193 |
Authorized person
| Name | MR. ANDRE ANTENOR |
| Role | CEO |
| Phone | 8632423322 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114106200 |
| State | FL |
| Issuer | 85-8018130580C-7 |
| Number | 85-8018130580C-7 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| POSITIVE ASSISTANCE INC 401K PLAN | 2023 | 474123018 | 2024-05-06 | POSITIVE ASSISTANCE INC | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-06 |
| Name of individual signing | ANDRE ANTENOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Sponsor’s telephone number | 8632423322 |
| Plan sponsor’s address | 750 ORANGE BLOSSOM TRAIL #222, ORLANDO, FL, 32805 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | ANDRE ANTENOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANTENOR ANDRE | Agent | 7750 Carrick Ct, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| Elie Patricia | Treasurer | 30 York Ct, Kissimmee, FL, 34758 |
| Name | Role | Address |
|---|---|---|
| ANTENOR ANDRE BA | President | 7750 Carrick Ct, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| LEONARD JONISE Phd | Chairman | 7575 Park Springs Cir, Orlando, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| Elysee Edmond Dr. | Director | 6836 Moorhen Cir, Orlando, FL, 32810 |
| Name | Role | Address |
|---|---|---|
| Bello Andres NBA | Vice Chairman | 2806 Maria Isabel Ave, Ocoee, FL, 34761 |
| Name | Role | Address |
|---|---|---|
| Merilien JeanWalkens Esq. | Trustee | 7226 W Colonial Dr, Orlando, FL, 32818 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000019126 | INCLUSIVE CARE OF ORLANDO, INC. | ACTIVE | 2022-01-18 | 2027-12-31 | No data | 7156 W COLONIAL DRIVE, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 750 S. Orange Blossom Trail, Suite 222, Orlando, FL 32805 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-04 | 7750 Carrick Ct, ORLANDO, FL 32835 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-30 | 750 S. Orange Blossom Trail, Suite 222, Orlando, FL 32805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-28 |
| AMENDED ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-06-07 |
| ANNUAL REPORT | 2017-06-04 |
| ANNUAL REPORT | 2016-05-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
