| Entity Name: | HCP OF CENTRAL FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Feb 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Sep 2022 (2 years ago) |
| Document Number: | P10000015494 |
| FEI/EIN Number | 271962351 |
| Address: | 1705 Ridgemoor Drive, MASCOTTE, FL, 34753, US |
| Mail Address: | P.O. Box 803, MASCOTTE, FL, 34753, US |
| ZIP code: | 34753 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336891167 | 2022-01-23 | 2022-02-08 | PO BOX 803, MASCOTTE, FL, 347530803, US | 5015 WHISPERING WING LN, MASCOTTE, FL, 347538880, US | |||||||||||||||||
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| Phone | +1 352-255-6931 |
| Phone | +1 352-557-4314 |
| Fax | 3524291420 |
Authorized person
| Name | HEIDI PETERS |
| Role | MEDICAID WAIVER PROVIDER |
| Phone | 3522556931 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HCP OF CENTRAL FLORIDA INC | 2023 | 811589241 | 2024-07-31 | HCP OF CENTRAL FLORIDA INC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-31 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3522556931 |
| Plan sponsor’s address | 1705 RIDGEMOOR DR, MASCOTTE, FL, 34753 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-15 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3522556931 |
| Plan sponsor’s address | 1705 RIDGEMOOR DR, MASCOTTE, FL, 34753 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-17 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PETERS HEIDI | Agent | 1705 Ridgemoor Drive, MASCOTTE, FL, 34753 |
| Name | Role | Address |
|---|---|---|
| PETERS HEIDI | President | 1705 Ridgemoor Drive, MASCOTTE, FL, 34753 |
| Name | Role | Address |
|---|---|---|
| PETERS HEIDI | Director | 1705 Ridgemoor Drive, MASCOTTE, FL, 34753 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000092702 | 7 HEAVEN SERVICES | EXPIRED | 2018-08-20 | 2023-12-31 | No data | 1705 RIDGEMOOR DRIVE, MASCOTTE, FL, 34753 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-09-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-22 | 1705 Ridgemoor Drive, MASCOTTE, FL 34753 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-08 | 1705 Ridgemoor Drive, MASCOTTE, FL 34753 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-08 | 1705 Ridgemoor Drive, MASCOTTE, FL 34753 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-04 |
| Amendment | 2022-09-07 |
| AMENDED ANNUAL REPORT | 2022-07-10 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
