| Entity Name: | EMERALD COAST SUPPORT COORDINATORS, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 May 1995 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Nov 2008 (16 years ago) |
| Document Number: | P95000038558 |
| FEI/EIN Number | 593309193 |
| Address: | 218 GREEN ACRES ROAD, SUITE 800, FT WALTON BEACH, FL, 32547, US |
| Mail Address: | 218 GREEN ACRES ROAD, SUITE 800, FT WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467568287 | 2006-08-22 | 2023-04-19 | 218 GREEN ACRES ROAD, SUITE 800, FORT WALTON BEACH, FL, 325477006, US | 218 GREEN ACRES ROAD, SUITE 800, FORT WALTON BEACH, FL, 325477006, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-862-7038 |
| Fax | 8508625089 |
Authorized person
| Name | MRS. BARBARA BAKER THOMAS |
| Role | PRESIDENT/ADMINISTRATOR |
| Phone | 8508627038 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 673620368 |
| State | FL |
| Issuer | MEDICAID |
| Number | 673620396 |
| State | FL |
| Issuer | MEDICAID |
| Number | 673620398 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMAS BARBARA | Agent | 218 GREEN ACRES ROAD, FT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| THOMAS BARBARA B | President | 1626 ELLA RUTH DR, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| SHELDON AMY L | Vice President | 677 Randall Roberts Rd, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| SHELDON AMY L | Secretary | 677 Randall Roberts Rd, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-19 | 218 GREEN ACRES ROAD, SUITE 800, FT WALTON BEACH, FL 32547 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-19 | 218 GREEN ACRES ROAD, SUITE 800, FT WALTON BEACH, FL 32547 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-19 | 218 GREEN ACRES ROAD, SUITE 800, FT WALTON BEACH, FL 32547 | No data |
| AMENDMENT | 2008-11-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | THOMAS, BARBARA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-04-19 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
