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  5. CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC.

CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC.

Company Details

Entity Name: CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Dec 1997 (27 years ago)
Document Number: P97000106483
FEI/EIN Number 650788082
Address: 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119, US
Mail Address: 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119, US
ZIP code: 34119
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295240828 2017-12-05 2022-05-25 2555 NORTHBROOKE PLAZA DR, NAPLES, FL, 341197961, US 1419 N PALAFOX ST, PENSACOLA, FL, 325012642, US

Contacts
Phone +1 239-403-0402
Fax 2394030402

Authorized person
Name JOSEPH HARRELSON
Role CEO
Phone 8506961039

Taxonomy
Taxonomy Code 261QM3000X - Medically Fragile Infants and Children Day Care
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 113402500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2021 650788082 2022-07-26 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DR, NAPLES, FL, 341197961

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-26
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2020 650788082 2021-10-06 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DR, NAPLES, FL, 341197961

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2019 650788082 2020-08-03 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DR, NAPLES, FL, 341197961

Signature of
Role Plan administrator
Date 2020-08-03
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2018 650788082 2019-07-26 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DR, NAPLES, FL, 341197961

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2017 650788082 2018-04-23 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2018-04-23
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2016 650788082 2017-10-13 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2015 650788082 2016-10-03 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2014 650788082 2015-09-04 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2015-09-04
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2014 650788082 2015-08-26 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 90
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER 401(K) PROFIT SHARING PLAN & TRUST 2013 650788082 2014-09-16 CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 2394030400
Plan sponsor’s address 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing EMILY PENNELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HARRELSON JOSEPH Agent 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Chief Executive Officer

Name Role Address
HARRELSON JOSEPH Chief Executive Officer 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119

Vice President

Name Role Address
Benton Rufus F Vice President 576 Colonial Park Drive, Roswell, GA, 30189

Founder

Name Role Address
Benton Rufus F Founder 576 Colonial Park Drive, Roswell, GA, 30189

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000016571 HEALTHCARE FOR KIDS ACTIVE 2024-01-30 2029-12-31 No data 576 COLONIAL PARK DRIVE, SUITE 120, ROSWELL, GA, 30075
G22000012278 CARING HEARTS ACTIVE 2022-01-28 2027-12-31 No data 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119
G15000027401 CARING HEARTS EXPIRED 2015-03-16 2020-12-31 No data 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL, 34119
G09000151251 CARING HEARTS EXPIRED 2009-09-01 2014-12-31 No data 949 2ND AVE N, NAPLES, FL, 34102
G09000151252 CARING HEARTS HOME HEALTH EXPIRED 2009-09-01 2014-12-31 No data 949 2ND AVE N, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-27 HARRELSON, JOSEPH No data
CHANGE OF PRINCIPAL ADDRESS 2012-11-12 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL 34119 No data
CHANGE OF MAILING ADDRESS 2010-01-05 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL 34119 No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-05 2555 NORTHBROOKE PLAZA DRIVE, NAPLES, FL 34119 No data

Documents

Name Date
ANNUAL REPORT 2024-07-12
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-03-21

Related by officers

HARRELSON JOSEPH

HIGHTOWER, HIGHTOWER AND HARRELSON, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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