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CHARLOTTE BEHAVIORAL HEALTH CARE, INC. - Florida Company Profile

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Company Details

Entity Name: CHARLOTTE BEHAVIORAL HEALTH CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Jul 1968 (57 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 13 Sep 2006 (19 years ago)
Document Number: 714950
FEI/EIN Number 591234922

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950
Mail Address: 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950
ZIP code: 33950
County: Charlotte
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ROGERS DEREK A Chief Financial Officer 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950
James Bill Treasurer 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950
Worthley Donna Director 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950
Scanlon Victoria C Agent 1700 EDUCATION AVE, PUNTA GORDA, FL, 33950
STEWART LARRY President 1135 SOCORRO DR, PUNTA GORDA, FL, 33950
GRANT MICHAEL Othe P.O. BOX 494317, PORT CHARLOTTE, FL, 33949
Desjardins Michael Dr. Director 1700 EDUCATION AVENUE, PUNTA GORDA, FL, 33950

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
JY6YBXV3AN44
CAGE Code:
4SDA5
UEI Expiration Date:
2025-06-25

Business Information

Activation Date:
2024-06-27
Initial Registration Date:
2007-06-08

National Provider Identifier

NPI Number:
1760460653
Certification Date:
2022-05-24

Authorized Person:

Name:
MR. RALPH JAY GLYNN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
9416396831

Form 5500 Series

Employer Identification Number (EIN):
591234922
Plan Year:
2017
Number Of Participants:
317
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000021559 S.H.A.R.E SPOT ACTIVE 2015-02-27 2025-12-31 - 1700 EDUCATION AVE, PUNTA GORDA, FL, 33950
G14000113552 DESOTO PSYCHIATRIC SERVICES ACTIVE 2014-11-11 2029-12-31 - 513 EAST HICKORY STREET, ARCADIA, FL, 34266
G12000110063 NORTHSIDE PSYCHIATRIC SERVICES ACTIVE 2012-11-14 2027-12-31 - 21500 GIBRALTER DR., PORT CHARLOTTE, FL, 33952

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-11 Scanlon, Victoria CEO -
NAME CHANGE AMENDMENT 2006-09-13 CHARLOTTE BEHAVIORAL HEALTH CARE, INC. -
REGISTERED AGENT ADDRESS CHANGED 1998-02-24 1700 EDUCATION AVE, PUNTA GORDA, FL 33950 -
CHANGE OF PRINCIPAL ADDRESS 1991-12-27 1700 EDUCATION AVENUE, PUNTA GORDA, FL 33950 -
CHANGE OF MAILING ADDRESS 1991-12-27 1700 EDUCATION AVENUE, PUNTA GORDA, FL 33950 -
NAME CHANGE AMENDMENT 1986-12-02 CHARLOTTE COMMUNITY MENTAL HEALTH SERVICES, INC. -

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-11
AMENDED ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-11

USAspending Awards / Financial Assistance

Date:
2022-12-30
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM ? NON-COMPETING CONTINUATION. - DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM - NON-COMPETING CONTINUATION.
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-12-14
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM ? NON-COMPETING CONTINUATION.
Obligated Amount:
19583.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2018-08-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
PUNTA GORDA'S DRUG FREE COMMUNITY PROGRAM
Obligated Amount:
230417.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2015-09-04
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
PUNTA GORDAS DRUG FREE COMMUNITY PROGRAM
Obligated Amount:
375000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
59-1234922
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1970-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 01 Jun 2025

Sources: Florida Department of State