| Entity Name: | HOSPICE OF OKEECHOBEE, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Jun 1986 (39 years ago) |
| Document Number: | N15463 |
| FEI/EIN Number | 592831397 |
| Address: | 411 SE 4TH ST., OKEECHOBEE, FL, 34974 |
| Mail Address: | 12470 TELECOM DRIVE, ATTN: LEGAL, TEMPLE TERRACE, FL, 33637, US |
| ZIP code: | 34974 |
| County: | Okeechobee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659334464 | 2006-04-11 | 2007-10-17 | PO BOX 1548, OKEECHOBEE, FL, 349731548, US | 411 SE 4TH ST, OKEECHOBEE, FL, 349744437, US | |||||||||||||||||||
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| Phone | +1 863-467-2321 |
| Fax | 8634678330 |
Authorized person
| Name | MS. LISA BLACKMAN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 8634672321 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 5026096 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOLOSKY ANDREW K | Agent | 12470 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| McAuley Sandra | Director | 411 SE 4TH STREET, Okeecbhobee, FL, 34974 |
| Smith Nicki | Director | 411 SE 4TH STREET, OKEECHOBEE, FL, 34974 |
| Lafferty Steve | Director | 411 SE 4TH STREET, OKEECHOBEE, FL, 34974 |
| Bulger Dorothy | Director | 411 SE 4TH STREET, OKEECHOBEE, FL, 34974 |
| Buxton Matthew | Director | 411 SE 4TH STREET, OKEECHOBEE, FL, 34974 |
| CULBRETH MARIE | Director | 411 SE 4TH STREET, OKEECHOBEE, FL, 34974 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000056073 | CHAPTERS HEALTH HOSPICE | ACTIVE | 2020-05-20 | 2025-12-31 | No data | ATTN: LEGAL, 12470 TELECOM DRIVE, SUITE 300 WEST, TEMPLE TERRACE, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2019-07-30 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
