| Entity Name: | CARING & SHARING CENTER FOR INDEPENDENT LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 30 Jul 1991 (34 years ago) |
| Document Number: | N44476 |
| FEI/EIN Number | 593102837 |
| Address: | 12552 BELCHER RD SOUTH, LARGO, FL, 33773-3014, US |
| Mail Address: | 12552 BELCHER RD SOUTH, LARGO, FL, 33773-3014, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477809853 | 2012-08-03 | 2023-06-12 | 12552 BELCHER RD S, LARGO, FL, 337733014, US | 12552 BELCHER RD S, LARGO, FL, 337733014, US | |||||||||||||||||||||||||||
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| Phone | +1 727-539-7550 |
Authorized person
| Name | MS. NICOLE REED |
| Role | EXECUTIVE DIRECTOR |
| Phone | 7275397550 |
Taxonomy
| Taxonomy Code | 171WH0202X - Home Modifications Contractor |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002845000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REED NICOLE | Agent | 12552 BELCHER ROAD SOUTH, LARGO, FL, 337733014 |
| Name | Role | Address |
|---|---|---|
| Page Barbara | Othe | 2745 64th Way North, ST PETERSBURG, FL, 33710 |
| French Jennifer | Othe | 1950 43rd Street N, St Petersburg, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| Bucca Mary | Secretary | 3805 52ND STREET N., SAINT PETERSBURG, FL, 33709 |
| Name | Role | Address |
|---|---|---|
| Silvers Ross | Vice President | 3201 Scherer Drive, St Petersburg, FL, 33706 |
| Name | Role | Address |
|---|---|---|
| Humburg Jack | President | 839 13TH AVENUE NORTH, SAINT PETERSBURG, FL, 337011015 |
| Name | Role | Address |
|---|---|---|
| Leggett Kimberly | Treasurer | 3621 19th Avenue South, St Petersburg, FL, 33711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000116336 | DISABILITY ACHIEVEMENT CENTER | ACTIVE | 2022-09-15 | 2027-12-31 | No data | 12552 BELCHER RD S, LARGO, FL, 33773 |
| G11000047990 | DISABILITY ACHIEVEMENT CENTER | EXPIRED | 2011-05-19 | 2016-12-31 | No data | 12552 BELCHER RD. S., LARGO, FL, 33773 |
| G09000172408 | YOUR EMPLOYMENT SOLUTION | EXPIRED | 2009-11-05 | 2014-12-31 | No data | 12552 BELCHER RD. S., LARGO, FL, 33773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-08-26 | No data | No data |
| AMENDMENT | 1992-01-15 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
