| Entity Name: | YOUTH VILLAGE OF VOLUSIA COUNTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Mar 1991 (34 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | N42668 |
| FEI/EIN Number | 59-3091263 |
| Address: | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 |
| Mail Address: | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033128616 | 2006-08-05 | 2010-10-07 | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 321144929, US | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 321144929, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-248-2771 |
| Fax | 3862482874 |
Authorized person
| Name | MRS. FRANCES MOCCIA |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 3862482771 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 752892200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 752892201 |
| State | FL |
| Issuer | MEDICAID |
| Number | 761652000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TINDELL, CHARLES | Agent | 406 NORTH WILD OLIVE AVE, DAYTONA BEACH, FL 32118 |
| Name | Role | Address |
|---|---|---|
| VESSA, SOPHIE | Director | 129 VALOR BLVD, DAYTONA BEACH, FL 32114 |
| MOCCIA, FRANCES | Director | 1203 NORTHSIDE DRIVE, ORMOND BEACH, FL 32174 |
| COURTNEY, ROBIN | Director | 1417 MOLLIE ROAD, DAYTONA BEACH, FL 32114 |
| CASANOVA, LESLIE | Director | POB 2232, PORT ORANGE, FL 32127 |
| STARK, LISA | Director | 213 S. ALABAMA AVE, DELAND, FL 32724 |
| SANTI, KATHY | Director | 5111 S. RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| MOCCIA, FRANCES | Chief Executive Officer | 1203 NORTHSIDE DRIVE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| VESSA, SOPHIE | Manager | 129 VALOR BLVD, DAYTONA BEACH, FL 32114 |
| SANTI, KATHY | Manager | 5111 S. RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| COURTNEY, ROBIN | Secretary | 1417 MOLLIE ROAD, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| CASANOVA, LESLIE | Treasurer | POB 2232, PORT ORANGE, FL 32127 |
| Name | Role | Address |
|---|---|---|
| STARK, LISA | Vice Chairman | 213 S. ALABAMA AVE, DELAND, FL 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-05-25 | 406 NORTH WILD OLIVE AVE, DAYTONA BEACH, FL 32118 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-05-25 | TINDELL, CHARLES | No data |
| AMENDMENT | 2001-05-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2001-04-06 | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-08-07 | 517 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 | No data |
| AMENDMENT | 1993-12-27 | No data | No data |
| AMENDMENT | 1991-12-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-14 |
| ANNUAL REPORT | 2009-01-07 |
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-01-16 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-05-25 |
| ANNUAL REPORT | 2004-04-22 |
| ANNUAL REPORT | 2003-02-10 |
| ANNUAL REPORT | 2002-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
