| Entity Name: | TIME OUT RESPITE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Jun 1989 (36 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | N32679 |
| FEI/EIN Number |
650155190
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 950 Tamiami trail, PORT CHARLOTTE, FL, 33953, US |
| Mail Address: | 950 Tamiami trail, PORT CHARLOTTE, FL, 33953, US |
| ZIP code: | 33953 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265735179 | 2010-12-15 | 2010-12-15 | 24246 HARBORVIEW RD, PORT CHARLOTTE, FL, 339802232, US | 24246 HARBORVIEW RD, PORT CHARLOTTE, FL, 339802232, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 941-743-3883 |
| Fax | 9417434369 |
Authorized person
| Name | MRS. SHARON CHRISTINA HARTZELL |
| Role | ADMINISTRATOR |
| Phone | 9417433883 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 089079 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 089079 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| License Number | 089079 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| License Number | 089079 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 347800000X |
| State | FL |
| Issuer | MEDICAID |
| Number | 251C00000X |
| State | FL |
| Issuer | MEDICAID |
| Number | 385H00000X |
| State | FL |
| Issuer | MEDICAID |
| Number | 253200000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS BETH | President | 18500 O'HARA DRIVE, PORT CHARLOTTE, FL, 33948 |
| MAZZONI JOSEPH | Vice President | 22347 ADORN STREET, PORT CHARLOTTE, FL, 33952 |
| Exler-Parsons Kimberly | Member | 24246 HARBOR VIEW RD, PORT CHARLOTTE, FL, 33980 |
| MAZZONI JAMI | Administrator | 950 Tamiami trail, PORT CHARLOTTE, FL, 33953 |
| MAZZONI JAMI D | Agent | 950 Tamiami trail, PORT CHARLOTTE, FL, 33953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF MAILING ADDRESS | 2022-05-02 | 950 Tamiami trail, 103, PORT CHARLOTTE, FL 33953 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-02 | 950 Tamiami trail, 103, PORT CHARLOTTE, FL 33953 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-02 | 950 Tamiami trail, 103, PORT CHARLOTTE, FL 33953 | - |
| REGISTERED AGENT NAME CHANGED | 2016-11-08 | MAZZONI, JAMI DAWN | - |
| REINSTATEMENT | 2016-11-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CANCEL ADM DISS/REV | 2009-10-19 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| AMENDMENT | 1990-07-05 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000024372 | ACTIVE | 1000000940953 | CHARLOTTE | 2023-01-11 | 2033-01-18 | $ 1,858.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-16 |
| REINSTATEMENT | 2016-11-08 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-07-29 |
| ANNUAL REPORT | 2013-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6118288007 | 2020-06-29 | 0455 | PPP | 1702 Nuremberg Boulevard, Punta Gorda, FL, 33983-6017 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Apr 2025
Sources: Florida Department of State
