| Entity Name: | DAISY ADAMS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Oct 1991 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Dec 1992 (32 years ago) |
| Document Number: | N45406 |
| FEI/EIN Number | 59-3097694 |
| Address: | 1735 ST RD 16, SUITE 1, SAINT AUGUSTINE, FL 32084 |
| Mail Address: | 1735 ST RD 16, SUITE 1, SAINT AUGUSTINE, FL 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841339116 | 2007-02-05 | 2020-08-22 | 1735 STATE ROAD 16, ST AUGUSTINE, FL, 320840807, US | 1735 STATE ROAD 16, ST AUGUSTINE, FL, 320840807, US | |||||||||||||||||
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| Phone | +1 904-824-4391 |
| Fax | 9048263835 |
Authorized person
| Name | MR. SHANE MORAN |
| Role | ADMINISTRATOR |
| Phone | 9048244391 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORAN, SHANE | Agent | 1735 STATE ROAD, ST. AUGUSTINE, FL 32084 |
| Name | Role | Address |
|---|---|---|
| SIRAGUSA, MIKE | Director | 780 N. PONCE DE LEON BLVD., ST. AUGUSTINE, FL 32084 |
| Name | Role | Address |
|---|---|---|
| GALLAGHER, LES | Vice President | 315 CORTEZ DR., ST. AUGUSTINE, FL 32086 |
| Name | Role | Address |
|---|---|---|
| Spuria, Anthony | President | 1735 ST RD 16, SUITE 1 SAINT AUGUSTINE, FL 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-26 | 1735 STATE ROAD, ST. AUGUSTINE, FL 32084 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-29 | MORAN, SHANE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-06-19 | 1735 ST RD 16, SUITE 1, SAINT AUGUSTINE, FL 32084 | No data |
| CHANGE OF MAILING ADDRESS | 2012-06-19 | 1735 ST RD 16, SUITE 1, SAINT AUGUSTINE, FL 32084 | No data |
| AMENDMENT | 1992-12-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-05-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
