| Entity Name: | CARE CLUB OF COLLIER COUNTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Apr 1991 (34 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | N42797 |
| FEI/EIN Number | 65-0253054 |
| Mail Address: | 1800 SANTA BARBARA BLVD, NAPLES, FL 34116 |
| Address: | 1800 SANTA BARABARA BLVD, NAPLES, FL 34116 |
| ZIP code: | 34116 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992056873 | 2012-10-02 | 2012-10-02 | 1800 SANTA BARBARA BLVD, NAPLES, FL, 341165444, US | 1800 SANTA BARBARA BLVD, NAPLES, FL, 341165444, US | |||||||||||||||||||||||||
|
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| Phone | +1 239-353-1994 |
| Fax | 2394558507 |
Authorized person
| Name | LUANNE WAHLSTROM |
| Role | EXECTUVIE DIRECTOR |
| Phone | 2393531994 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | AD8750 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 676919500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Voegele, Kenneth | Agent | 1800 SANTA BARBARA BLVD, NAPLES, FL 34116 |
| Name | Role | Address |
|---|---|---|
| BIRR, MARY | Treasurer | 2322 PINEWOODS CIRCLE, NAPLES, FL 34105 |
| Name | Role | Address |
|---|---|---|
| MARSHALL, SARAH | President | 20 CYPRESS POINT DRIVE, NAPLES, FL 34105 |
| Name | Role | Address |
|---|---|---|
| Berghuis, KATHLEEN | Vice President | 999Trivoli Drive, Naples, FL 34104 |
| Name | Role | Address |
|---|---|---|
| Webley, Stephanie | Secretary | 2990 6th Stree NW, Naples, FL 34120 |
| Name | Role | Address |
|---|---|---|
| Voegele, Kenneth | Executive Director | 1800 SANTA BARABARA BLVD, NAPLES, FL 34116 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-06-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-08 | Voegele, Kenneth | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-01-29 | 1800 SANTA BARBARA BLVD, NAPLES, FL 34116 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-02-05 | 1800 SANTA BARABARA BLVD, NAPLES, FL 34116 | No data |
| CHANGE OF MAILING ADDRESS | 1997-02-05 | 1800 SANTA BARABARA BLVD, NAPLES, FL 34116 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000508277 | TERMINATED | 1000000754525 | COLLIER | 2017-08-18 | 2027-08-31 | $ 1,082.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, NAPLES SERVICE CENTER, 3845 BECK BLVD STE 831, NAPLES FL341141218 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-06-07 |
| AMENDED ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
