| Entity Name: | FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 27 Oct 1988 (36 years ago) |
| Document Number: | P21504 |
| FEI/EIN Number | 752256721 |
| Address: | 5500 W PLANO PKY, PLANO, TX, 75093, US |
| Mail Address: | 5500 W. PLANO PARKWAY, PLANO, TX, 75093 |
| Place of Formation: | TEXAS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043323934 | 2006-08-16 | 2020-08-22 | 751 AVIGNON DR, SUITE I, RIDGELAND, MS, 391575161, US | 2975 GARDEN ST, NORTH FORT MYERS, FL, 339171883, US | |||||||||||||||||||||||
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| Phone | +1 601-607-7195 |
| Fax | 6016077196 |
| Phone | +1 239-995-5833 |
| Fax | 2399954856 |
Authorized person
| Name | MRS. JAMIE LATTURE COLLIER |
| Role | DIRECTOR OF REIMBURSEMENT |
| Phone | 6016077195 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| License Number | 4071095 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCOTT THOMAS D | President | 5500 W PLANO PKY, PLANO, TX, 75093 |
| Name | Role | Address |
|---|---|---|
| RIEK ROBERT J | Secretary | 5500 W PLANO PKY, SUITE 210, PLANO, TX, 75093 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000081391 | SANDY PARK DEVELOPMENT CENTER, INC. | EXPIRED | 2013-08-15 | 2018-12-31 | No data | 2975 GARDEN STREET, N. FORT MEYERS, FL, 33917 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2022-07-28 | No data | No data |
| REINSTATEMENT | 2010-11-16 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2006-04-12 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1992-11-04 | FLORIDA PREFERRED CARE DEVELOPMENTAL CENTERS I, INC. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
