| Entity Name: | HEALTH CARE CENTER FOR THE HOMELESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 27 May 1993 (32 years ago) |
| Document Number: | N93000002423 |
| FEI/EIN Number | 593185020 |
| Address: | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805, US |
| Mail Address: | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805, US |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033982566 | 2023-11-06 | 2023-11-06 | 232 N ORANGE BLOSSOM TRL, ORLANDO, FL, 328051612, US | 232 N ORANGE BLOSSOM TRL, MDU3, ORLANDO, FL, 328051612, US | |||||||||||||||
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| Phone | +1 407-428-5751 |
| Fax | 4074286204 |
Authorized person
| Name | BARKARI F BURNS |
| Role | CEO |
| Phone | 4074285751 |
Taxonomy
| Taxonomy Code | 261QF0400X - Federally Qualified Health Center (FQHC) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 403(B) THRIFT PLAN OF HEALTH CARE CENTER FOR THE HOMELESS, INC. | 2018 | 593185020 | 2019-10-16 | HEALTH CARE CENTER FOR THE HOMELESS, INC. | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-10-14 |
| Name of individual signing | PRISCILLA SEPPI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BURNS BAKARI F | Agent | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| BURNS BAKARI FMPH MBA | President | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| Love McGregor | Secretary | 215 S Eola Dr, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| CAROL STEWART Dr. | Director | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| MORRIS CLIFFORD Jr. | Director | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| SERRANO ESMERALDE B | Director | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| GORDY C BDr. | Chairman | 1216 EDGEWATER DR., ORLANDO, FL, 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000017032 | ORANGE BLOSSOM FAMILY HEALTH | ACTIVE | 2020-02-06 | 2025-12-31 | No data | 232 N ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| G17000039378 | ORANGE BLOSSOM PEDIATRICS | EXPIRED | 2017-04-12 | 2022-12-31 | No data | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
| G14000036288 | ORANGE BLOSSOM FAMILY HEALTH | EXPIRED | 2014-04-11 | 2019-12-31 | No data | 232 N. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32805 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
