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  5. HOSPICE OF OKEECHOBEE, INCORPORATED

HOSPICE OF OKEECHOBEE, INCORPORATED - Florida Company Profile

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Company Details

Entity Name: HOSPICE OF OKEECHOBEE, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 18 Jun 1986 (39 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 30 Jul 2019 (6 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
City: Okeechobee
County: Okeechobee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Molosky Andrew President 12470 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637
Bulger Dorothy Director 411 SE 4TH STREET, OKEECHOBEE, FL, 34974
McAuley Sandra Director 411 SE 4TH STREET, Okeecbhobee, FL, 34974
Smith Nicki Director 411 SE 4TH STREET, OKEECHOBEE, FL, 34974
MOLOSKY ANDREW K Agent 12470 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637
Buxton Matthew Director 411 SE 4TH STREET, OKEECHOBEE, FL, 34974
CULBRETH MARIE Director 411 SE 4TH STREET, OKEECHOBEE, FL, 34974

Unique Entity ID

Unique Entity ID:
UHGLDMJBQ2N7
CAGE Code:
5Y3V7
UEI Expiration Date:
2026-02-19

Business Information

Doing Business As:
HOSPICE OF OKEECHOBEE INC
Activation Date:
2025-02-21
Initial Registration Date:
2010-03-26

Commercial and government entity program

CAGE number:
5Y3V7
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-21
SAM Expiration:
2026-02-19

Contact Information

POC:
TODD WEBB

National Provider Identifier

NPI Number:
1659334464
Link:
View on NPI website

Authorized Person:

Name:
MS. LISA BLACKMAN
Role:
CHIEF EXECUTIVE OFFICER
Phone:
8634672321

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Phone:
+1 863-467-2321
Fax:
8634678330

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000056073 CHAPTERS HEALTH HOSPICE ACTIVE 2020-05-20 2025-12-31 - ATTN: LEGAL, 12470 TELECOM DRIVE, SUITE 300 WEST, TEMPLE TERRACE, FL, 33637

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-04-07 411 SE 4TH ST., OKEECHOBEE, FL 34974 -
REGISTERED AGENT ADDRESS CHANGED 2023-04-07 12470 TELECOM DRIVE, ATTN: LEGAL, SUITE 301, TEMPLE TERRACE, FL 33637 -
AMENDED AND RESTATEDARTICLES 2019-07-30 - -
REGISTERED AGENT NAME CHANGED 2019-07-30 MOLOSKY, ANDREW K -
CHANGE OF PRINCIPAL ADDRESS 2011-02-23 411 SE 4TH ST., OKEECHOBEE, FL 34974 -
CANCEL ADM DISS/REV 2008-10-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -

Documents

Name Date
ANNUAL REPORT 2024-03-27
AMENDED ANNUAL REPORT 2023-08-28
AMENDED ANNUAL REPORT 2023-07-06
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-24
Amended and Restated Articles 2019-07-30
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-15

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24815J3282
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
67649.28
Base And Exercised Options Value:
67649.28
Base And All Options Value:
67649.28
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-04-01
Description:
IGF::OT::IGF ANNUAL REPORTING OF EXPENDITURES PAID BY 1358
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24813J3233
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
42215.19
Base And Exercised Options Value:
42215.19
Base And All Options Value:
42215.19
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-04-01
Description:
IGF::OT::IGF FPDS FUND REPORTING
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24812A0004
Link:
View Award on USAspending website
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-04-01
Description:
HOSPICE BASIC ORDERING AGREEMENT
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Tax Exempt

Employer Identification Number (EIN) :
59-2831397
In Care Of Name:
% CHAPTERS HEALTH SYSTEM
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1987-12
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Related by address

12470 TELECOM DRIVE, ATTN: LEGAL, TEMPLE TERRACE, FL, 33637, US

CHAPTERS HEALTH HOME CARE, LLC
Florida Limited Liability Co.
CHAPTERS HEALTH HOME CARE, LLC, which currently Inactive, had registered address 12470 TELECOM DRIVE, ATTN: LEGAL, TEMPLE TERRACE, FL, 33637, US.

Date of last update: 02 Aug 2025

Sources: Florida Department of State

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