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904 HEALTH, INC - Florida Company Profile

Company Details

Entity Name: 904 HEALTH, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Apr 2022 (3 years ago)
Document Number: N22000004004
FEI/EIN Number 88-2746803

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 221 N. HOGAN, SUITE 118, JACKSONVILLE, FL, 32202, US
Mail Address: 221 N. HOGAN STREET, SUITE 118, JACKSONVILLE, FL, 32202, US
ZIP code: 32202
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184305435 2023-07-28 2023-07-28 221 N HOGAN ST STE 118, JACKSONVILLE, FL, 322024201, US 4427 EMERSON ST STE A, JACKSONVILLE, FL, 322074969, US

Contacts

Phone +1 904-659-2475

Authorized person

Name JAMES TARVER
Role DIRECTOR
Phone 9044032079

Taxonomy

Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes
Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary No
Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary No
Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Key Officers & Management

Name Role Address
CANNON LYDIA Director 221 N. HOGAN STREET, SUITE 118, JACKSONVILLE, FL, 32202
VIDAL NANA STONE Director 221 N. HOGAN STREET, SUITE 118, JACKSONVILLE, FL, 32202
McKAGUE MELISSA Admi 221 N. HOGAN STREET, JACKSONVILLE, FL, 32202
RASCOE VALMA Director 221 N Hogan St, Suite 118, JACKSONVILLE, FL, 32202
TARVER JAMES Agent 221 N. HOGAN STREET, JACKSONVILLE, FL, 32202
TARVER JAMES Director 221 N. HOGAN STREET, SUITE 118, JACKSONVILLE, FL, 32202

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-27
Domestic Non-Profit 2022-04-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
88-2746803 Corporation Unconditional Exemption 221 N HOGAN ST STE 118, JACKSONVILLE, FL, 32202-4201 2022-11
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period -
Asset 0
Income 0
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Health Care: Public Health Program (Includes General Health and Wellness Promotion Services)
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_88-2746803_904HEALTHINC_10212022_00.pdf

Date of last update: 02 Apr 2025

Sources: Florida Department of State