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OUTREACH COMMUNITY CARE NETWORK, INC.

Company Details

Entity Name: OUTREACH COMMUNITY CARE NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 05 Jul 1988 (37 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Nov 2014 (10 years ago)
Document Number: N27264
FEI/EIN Number 59-2897172
Address: 240 North Frederick Avenue, Daytona Beach, FL 32114
Mail Address: 240 North Frederick Avenue, DAYTONA BEACH, FL 32114
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043776057 2019-02-14 2019-02-14 240 N. FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US 240 N. FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US

Contacts

Phone +1 386-675-0118
Fax 3862571245

Authorized person

Name DR. CHESTER WILSON JR.
Role EXECUTIVE DIRECTOR
Phone 3866750098

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Agent

Name Role Address
WILSON, CHESTER Agent 240 North Frederick Avenue, DAYTONA BEACH, FL 32114

Board Member

Name Role Address
Perkins, Trekelle Board Member 240 North Frederick Avenue, Daytona Beach, FL 32114
Hall, Aaron, Dr. Board Member 240 North Frederick Avenue, Daytona Beach, FL 32114
McCorvey, IV, Simp, Esq. Board Member 240 North Frederick Avenue, Daytona Beach, FL 32114
Monell, Aida Board Member 240 N FREDERICK AVE, DAYTONA BEACH, FL 32114

Board Chair

Name Role Address
Randolph, Villa Board Chair 240 North Frederick Avenue, Daytona Beach, FL 32114

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-23 WILSON, CHESTER No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-26 240 North Frederick Avenue, Daytona Beach, FL 32114 No data
CHANGE OF MAILING ADDRESS 2018-09-26 240 North Frederick Avenue, Daytona Beach, FL 32114 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-05 240 North Frederick Avenue, DAYTONA BEACH, FL 32114 No data
REINSTATEMENT 2014-11-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
AMENDMENT AND NAME CHANGE 2005-09-16 OUTREACH COMMUNITY CARE NETWORK, INC. No data
AMENDMENT 1989-04-27 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-04
AMENDED ANNUAL REPORT 2018-09-26
AMENDED ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2018-01-26

Date of last update: 04 Feb 2025

Sources: Florida Department of State