| Entity Name: | FAMILY FIRST SOLUTION COMMUNITY DEVELOPMENT CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 24 Jun 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Feb 2018 (7 years ago) |
| Document Number: | N16000006382 |
| FEI/EIN Number | 812995646 |
| Address: | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL, 32218, US |
| Mail Address: | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114403185 | 2018-07-12 | 2018-07-17 | 12280 SUMTER SQUARE DR W, JACKSONVILLE, FL, 322186125, US | 12280 SUMTER SQUARE DR W, JACKSONVILLE, FL, 32218, US | |||||||||||||||||||||||||
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| Phone | +1 904-622-8684 |
Authorized person
| Name | MRS. ASZLOYN NIKITA WAKEFIELD |
| Role | CEO |
| Phone | 9046228684 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018486300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WAKEFIELD ASZLOYN N | Agent | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| Wakefield Aszloyn N | Chief Executive Officer | 36106 Pitch Lane, Hilliard, FL, 32046 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS WAYSHAWN | Secretary | 1921 DELAROCHE DRIVE WEST, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS CLARENCE E | Chairman | 4314 CRAVEN ROAD WEST, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| Hammond Valerie J | Treasurer | 2020 Prospect Street, JACKSONVILLE, FL, 32208 |
| Name | Role | Address |
|---|---|---|
| Williams Yvonne | Vice Chairman | 9874 Wesbourne Court, Jacksonville, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| Williams Sirretta N | chap | 13528 Ashford Wood Court W, Jacksonville, FL, 32218 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000149456 | ABOVE AND BEYOND PREPARATORY ACADEMY | ACTIVE | 2023-12-10 | 2028-12-31 | No data | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL, 32218 |
| G22000057083 | THE LEADERSHIP CENTER | ACTIVE | 2022-05-05 | 2027-12-31 | No data | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL, 32218 |
| G16000065389 | FIRST FAMILY SOLUTIONS COMMUNITY DEVELOPMENT CORPORATION | EXPIRED | 2016-07-03 | 2021-12-31 | No data | 8428 NEW KINGS RD, STE #4, JACKSONVILLE, FL, 32219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-02-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-04 | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-04 | 12280 SUMTER SQUARE DRIVE WEST, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-03-10 |
| Amendment | 2018-02-23 |
| ANNUAL REPORT | 2017-02-15 |
| Domestic Non-Profit | 2016-06-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
