| Entity Name: | PREDESTINED 4 PURPOSE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Jul 2015 (10 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: | N15000007112 |
| FEI/EIN Number | 81-0719442 |
| Address: | 6826 GADWALL LANE, ORLANDO, FL 32810 |
| Mail Address: | PO BOX 616753, ORLANDO, FL 32868 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548619950 | 2016-06-07 | 2016-06-07 | 6826 GADWALL LANE, ORLANDO, FL, 32810, US | 6826 GADWALL LANE, ORLANDO, FL, 32810, US | |||||||||||||||||||||||||
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| Phone | +1 407-285-1249 |
| Fax | 3214245886 |
Authorized person
| Name | MS. BOBBIE COOK |
| Role | OWNER |
| Phone | 4072851249 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 234231 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693730696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COOK, BOBBIE A | Agent | 1156 WOODMAN WAY, ORLANDO, FL 32818 |
| Name | Role | Address |
|---|---|---|
| COOK, BOBBIE A | President | 1156 WOODMAN WAY, ORLANDO, FL 32818 U. |
| DAVIS, SHAYEON L | President | 1156 WOODMAN WAY, ORLANDO, FL 32818 |
| Name | Role | Address |
|---|---|---|
| BARCENE, JONI | Vice President | 20648 MACON PARKWAY, ORLANDO, GL 32833 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-12-16 | 6826 GADWALL LANE, ORLANDO, FL 32810 | No data |
| Name | Date |
|---|---|
| Domestic Non-Profit | 2015-07-20 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
