| Entity Name: | ALZHEIMER'S COMMUNITY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Oct 1996 (29 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 10 Dec 2001 (23 years ago) |
| Document Number: | N96000005197 |
| FEI/EIN Number |
311481653
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1615 Forum Place, 5th Floor, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 1615 Forum Place, 5th Floor, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285998096 | 2012-06-26 | 2023-03-01 | 800 NORTHPOINT PKWY, SUITE 101B, WEST PALM BEACH, FL, 334071978, US | 800 NORTHPOINT PKWY, SUITE 101B, WEST PALM BEACH, FL, 334071978, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 561-683-2700 |
| Fax | 5616837600 |
Authorized person
| Name | MICHAEL JESSUP |
| Role | PRESIDENT AND CEO |
| Phone | 5616832700 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 67 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALZHEIMER'S COMMUNITY CARE 401(K) PLAN | 2019 | 311481653 | 2021-01-14 | ALZHEIMER'S COMMUNITY CARE, INC. | 84 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-01-14 |
| Name of individual signing | MARY M. BARNES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
Signature of
| Role | Plan administrator |
| Date | 2020-03-04 |
| Name of individual signing | MARY BARNES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 5616832700 |
| Plan sponsor’s address | 800 NORTHPOINT PARKWAY, SUITE 101-B, WEST PALM BEACH, FL, 33407 |
Signature of
| Role | Plan administrator |
| Date | 2015-01-29 |
| Name of individual signing | MARY M. BARNES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOHNSON RANDY K | Director | 1900 W. 23RD STREET, RIVIERA BEACH, FL, 33404 |
| Shalloway G. Mark | Chairman | 1400 Centrepark Blvd., West Palm Beach, FL, 33401 |
| FRANKLIN DAVID S | Director | 1615 FORUM PLACE, 5TH FLOOR, WEST PALM BEACH, FL, 33401 |
| Gorman Robert | Immi | 3300 Twin Lakes Terrace, Fort Pierce, FL, 34951 |
| JONES FOSTER SERVICE, LLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000076536 | BOCA RATON BRAIN BOWL | EXPIRED | 2019-07-15 | 2024-12-31 | - | 800 NORTH POINT PKWY, 101-B, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-08 | 1615 Forum Place, 5th Floor, WEST PALM BEACH, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2024-10-08 | 1615 Forum Place, 5th Floor, WEST PALM BEACH, FL 33401 | - |
| REGISTERED AGENT NAME CHANGED | 2005-03-08 | JONES FOSTER SERVICE LLC | - |
| NAME CHANGE AMENDMENT | 2001-12-10 | ALZHEIMER'S COMMUNITY CARE, INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 1999-03-22 | 505 SOUTH FLAGLER DRIVE, SUITE 1100, WEST PALM BEACH, FL 33401 | - |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ALZHEIMER'S COMMUNITY CARE, INC. VS SUSI TIEKERT | 4D2023-0136 | 2023-01-12 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | ALZHEIMER'S COMMUNITY CARE, INC. |
| Role | Petitioner |
| Status | Active |
| Representations | Matthew J Shilling, Hinda Klein |
| Name | Susi Tiekert |
| Role | Respondent |
| Status | Active |
| Representations | Joshua Molandes |
| Name | Hon. Paige Hardy Gillman |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Clerk - Palm Beach |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2023-01-12 |
| Type | Misc. Events |
| Subtype | Case Filing Fee Paid through Portal |
| Description | Case Filing Fee Paid Through Portal |
| Docket Date | 2023-01-12 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Writ of Certiorari / Acknowledgment letter |
| Docket Date | 2023-01-12 |
| Type | Record |
| Subtype | Appendix to Petition |
| Description | Appendix to Petition |
| Docket Date | 2023-01-12 |
| Type | Petition |
| Subtype | Petition Certiorari |
| Description | Petition for Certiorari Filed ~ Filing Fee Paid Through Portal |
| On Behalf Of | Alzheimer's Community Care, Inc. |
| Docket Date | 2023-01-30 |
| Type | Disposition |
| Subtype | Denied |
| Description | Denied - Order by Judge |
| Docket Date | 2023-01-30 |
| Type | Disposition by Order |
| Subtype | Denied |
| Description | Order Denying Petition for Writ - Certiorari ~ ORDERED that the January 12, 2023 petition for writ of certiorari is denied.KLINGENSMITH, C.J., WARNER and DAMOORGIAN, JJ., concur. |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| AMENDED ANNUAL REPORT | 2024-08-08 |
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-01-10 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | V548P1222 | 2009-07-01 | - | - | |||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 300000.00 |
Description
| Title | ADULT DAY CARE |
| NAICS Code | 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES |
| Product and Service Codes | Q401: NURSING SERVICES |
Recipient Details
| Recipient | ALZHEIMER'S COMMUNITY CARE, INC. |
| UEI | VAC8DQFK57L3 |
| Recipient Address | 800 NORTHPOINT PKWY STE 101B, WEST PALM BEACH, PALM BEACH, FLORIDA, 334071978, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSN263200801354P_7529_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | ALZHEIMERS RESEARCH TO CO-SPONSOR A WORKSHOP ON JULY 26 |
| Product and Service Codes | 9999: MISCELLANEOUS ITEMS |
Recipient Details
| Recipient | ALZHEIMER'S COMMUNITY CARE, INC. |
| UEI | VAC8DQFK57L3 |
| Legacy DUNS | 969961333 |
| Recipient Address | 800 NORTHPOINT PKWY STE 101B, WEST PALM BEACH, 334071978, UNITED STATES |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
