Entity Name: | GULFSIDE HOSPICE, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Active |
Date Filed: | 08 Jul 1988 (37 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 30 Jul 2020 (5 years ago) |
Document Number: | N27321 |
FEI/EIN Number | 59-2911669 |
Address: | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 |
Mail Address: | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 |
ZIP code: | 34639 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144328881 | 2006-09-20 | 2019-04-02 | 2061 COLLIER PKWY, LAND O LAKES, FL, 346395202, US | 2061 COLLIER PKWY, LAND O LAKES, FL, 346395202, US | |||||||||||||||||||||||||
|
Phone | +1 727-845-5707 |
Fax | 8134285926 |
Authorized person
Name | MS. LINDA LOUISE WARD |
Role | PRESIDENT AND CEO |
Phone | 7278455707 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 5005096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 087570800 |
State | FL |
Name | Role | Address |
---|---|---|
JONES, PATRICIA, CPA | Agent | 6406 Ridge Top Drive, New Port Richey, FL 34655 |
Name | Role | Address |
---|---|---|
WARD, LINDA L | Chief Executive Officer | 2061 Collier Parkway, Land O Lakes, FL 34639 |
Name | Role | Address |
---|---|---|
JONES, PATRICIA CPA | Treasurer | 6406 Ridge Top Drive, New Port Richey, FL 34655 |
Name | Role | Address |
---|---|---|
NELSON HOOK, JOAN ESQ | Secretary | 4918 FLORAMAR DRIVE, NEW PORT RICHEY, FL 34652 |
Name | Role | Address |
---|---|---|
Crumbley, Allen | Vice Chairman | 7916 Evolutions Way, Suite 210 Trinity, FL 34655 |
Adewunmi, Sola | Vice Chairman | 2061 Collier Parkway, Land O Lakes, FL |
Name | Role | Address |
---|---|---|
Heinig, Daniel, Dr. | Chairman | 23532 State Road 54, Lutz, FL 33559 |
Name | Role | Address |
---|---|---|
Massengill, Leigh | Director | 2061 Collier Parkway, Land O' Lakes, FL 34639 |
Skairus, John | Director | 6930 Gall Boulevard, Zephyrhills, FL 33542 |
Koutsos, Judith | Director | 6121 Massachusetts Ave., New Port Richey, FL 34653 |
Name | Role | Address |
---|---|---|
Maughn, Allison E | Chief Financial Officer | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 |
Name | Role | Address |
---|---|---|
Postiglione, Kathleen | Chief Operating Officer | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000018514 | GULFSIDE HOSPICE | EXPIRED | 2014-02-21 | 2019-12-31 | No data | 6117 TROUBLE CREEK ROAD, NEW PORT RICHEY, FL, 34653 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2025-02-03 | 6406 Ridge Top Drive, New Port Richey, FL 34655 | No data |
AMENDMENT | 2020-07-30 | No data | No data |
NAME CHANGE AMENDMENT | 2019-01-25 | GULFSIDE HOSPICE, INC | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-02-24 | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 | No data |
NAME CHANGE AMENDMENT | 2014-02-24 | GULFSIDE HOSPICE & PASCO PALLIATIVE CARE, INC. | No data |
CHANGE OF MAILING ADDRESS | 2014-02-24 | 2061 COLLIER PARKWAY, LAND O' LAKES, FL 34639 | No data |
AMENDMENT | 2008-12-15 | No data | No data |
CANCEL ADM DISS/REV | 2008-01-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2008-01-25 | JONES, PATRICIA, CPA | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-03 |
ANNUAL REPORT | 2024-02-23 |
ANNUAL REPORT | 2023-01-31 |
ANNUAL REPORT | 2022-01-13 |
ANNUAL REPORT | 2021-01-25 |
Amendment | 2020-07-30 |
ANNUAL REPORT | 2020-02-12 |
ANNUAL REPORT | 2019-02-21 |
Name Change | 2019-01-25 |
ANNUAL REPORT | 2018-01-22 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State