| Entity Name: | PROVIDENCE NOBLE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PROVIDENCE NOBLE CARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 29 Jun 2006 (19 years ago) |
| Document Number: | P06000087978 |
| FEI/EIN Number |
223937379
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971, US |
| Mail Address: | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971, US |
| ZIP code: | 33971 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902101488 | 2011-01-14 | 2011-01-14 | 2606 64TH ST W, LEHIGH ACRES, FL, 339710859, US | 2606 64TH ST W, LEHIGH ACRES, FL, 339710859, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-368-2507 |
| Fax | 2393682507 |
Authorized person
| Name | MS. PROVIDENTIA NJIDEKA IGBOELUSI |
| Role | PRESIDENT |
| Phone | 2393682507 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 089327 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | 089327 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 688753896 |
| State | FL |
| Issuer | MEDICAID |
| Number | 688753801 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPIEGEL & UTRERA, P.A. | Agent | - |
| IGBOELUSI PROVIDENTIA | Director | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971 |
| IGBOELUSI PROVIDENTIA | President | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971 |
| IGBOELUSI PROVIDENTIA | Secretary | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971 |
| IGBOELUSI PROVIDENTIA | Treasurer | 2606 64 STREET WEST, LEHIGH ACRES, FL, 33971 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-23 | 2606 64 STREET WEST, LEHIGH ACRES, FL 33971 | - |
| CHANGE OF MAILING ADDRESS | 2007-03-23 | 2606 64 STREET WEST, LEHIGH ACRES, FL 33971 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-17 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
