| Entity Name: | HEART & LIFE COMMUNITY CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Apr 2024 (10 months ago) |
| Document Number: | P21000016637 |
| FEI/EIN Number | 86-2228325 |
| Address: | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 |
| Mail Address: | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871264507 | 2021-09-22 | 2021-09-22 | 801 N MAGNOLIA AVE STE 201, ORLANDO, FL, 328033842, US | 309 NE 1ST ST STE B, GAINESVILLE, FL, 326015310, US | |||||||||||||||||||||
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| Phone | +1 407-730-5306 |
| Fax | 4077305305 |
Authorized person
| Name | CARMEN GUZMAN |
| Role | OFFICE MANAGER |
| Phone | 4077305306 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109829400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARRIOS, ODALYS DUARTE | Agent | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 |
| Name | Role | Address |
|---|---|---|
| DUARTE BARRIOS, ODALYS | President | 801 N MAGNOLIA AVE, STE 409 ORLANDO, FL 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000009422 | HEART & LIFE SENIOR CARE | ACTIVE | 2022-01-10 | 2027-12-31 | No data | 801 N MAGNOLIA AVE, STE 201, ORLANDO, FL, 32803 |
| G21000149669 | DOWNTOWN THERAPY CENTER | ACTIVE | 2021-11-08 | 2026-12-31 | No data | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-04-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 801 N MAGNOLIA AVE, STE 409, ORLANDO, FL 32803 | No data |
| AMENDMENT | 2021-10-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-05 | BARRIOS, ODALYS DUARTE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-12 |
| Amendment | 2024-04-19 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-01-31 |
| Amendment | 2021-10-05 |
| Domestic Profit | 2021-02-22 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
