| Entity Name: | WINCHESTER OAKS CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2019 (6 years ago) |
| Document Number: | P19000057532 |
| FEI/EIN Number | 84-2380021 |
| Address: | 871 WINCHESTER STREET, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 871 WINCHESTER STREET, DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407468986 | 2020-08-17 | 2020-08-17 | 871 WINCHESTER ST, DAYTONA BEACH, FL, 321141977, US | 871 WINCHESTER ST, DAYTONA BEACH, FL, 321141977, US | |||||||||||||||||||
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| Phone | +1 386-795-0353 |
Authorized person
| Name | CICELY JACKSON |
| Role | OWNER |
| Phone | 3867590353 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000000000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JACKSON CICELY D | Agent | 871 WINCHESTER STREET, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| JACKSON CICELY D | President | 871 WINCHESTER STREET, DAYTONA BEACH, FL, 32114 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-08 |
| AMENDED ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2020-03-23 |
| Domestic Profit | 2019-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
