| Entity Name: | HORIZONS OF OKALOOSA COUNTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 11 Feb 1992 (33 years ago) |
| Document Number: | N47302 |
| FEI/EIN Number | 593109969 |
| Address: | 123 TRUXTON AVENUE, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 123 TRUXTON AVENUE, FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518038256 | 2006-11-13 | 2019-12-13 | 123 TRUXTON AVE, FORT WALTON BEACH, FL, 325472460, US | 123 TRUXTON AVE, FORT WALTON BEACH, FL, 325472460, US | |||||||||||||||||||||||||||
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| Phone | +1 850-863-1530 |
| Fax | 8508635548 |
Authorized person
| Name | MR. JOHN ROPER |
| Role | CEO |
| Phone | 8508631530 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 881191100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 811318100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Rogers Melissa | Agent | 123 TRUXTON AVENUE, FT. WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| Rogers Melissa | Acti | 6052 Blair Circle, Gulf Breeze, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| McMorrow Tracy | President | 103 Poquito Road, Shalimar, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| Mallini Tony | Treasurer | 948 Harrelson Drive, Fort Walton Beach, FL, 32547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000048459 | CHILDREN'S CENTER | ACTIVE | 2018-04-16 | 2028-12-31 | No data | 343 HOLMES BLVD, FORT WALTON BEACH, FL, 32548 |
| G15000073902 | THE ARC OF THE EMERALD COAST | ACTIVE | 2015-07-15 | 2025-12-31 | No data | 123 TRUXTON AVENUE, FORT WALTON BEACH, FL, 32547 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
