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MIAMI BEACH COMMUNITY HEALTH CENTER INC. - Florida Company Profile

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Company Details

Entity Name: MIAMI BEACH COMMUNITY HEALTH CENTER 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: 01 Mar 1977 (48 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Aug 2012 (13 years ago)
Document Number: 738164
FEI/EIN Number 591829984

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

Address: 11645 BISCAYNE BLVD, 207, MIAMI, FL, 33181, US
Mail Address: 11645 BISCAYNE BLVD, 207, MIAMI, FL, 33181, US
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Chamberlain David Director 8220 SW 160th Street, Palmetto Bay, FL, 33157
Gersten David M Director 9102 W Bay Harbor Drive, Bay Harbor Islands, FL, 33154
Gibb Therese Director 8866 Hawthorne Avenue, Surfside, FL, 33154
Rubinson Mitchell Director 6109 Laguna Drive West, Miami Beach, FL, 33141
Massey David Esq. Director 200 Biscayne Blvd. Way, #307, Miami, FL, 33131
Lambert Barbara Director 3870 Amalfi Drive, Hollywood, FL, 33021
DILLON WILLIAM P Agent 215 S MONROE ST STE 601, TALLAHASSEE, FL, 32301

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:
ZFN5YPUBPDF1
CAGE Code:
48ZE4
UEI Expiration Date:
2025-09-12

Business Information

Doing Business As:
MIAMI BEACH COMMUNITY HEALTH CENTER CLINICAL CAMPUS
Activation Date:
2024-09-16
Initial Registration Date:
2005-12-30

National Provider Identifier

NPI Number:
1821667981
Certification Date:
2025-01-23

Authorized Person:

Name:
LIZEL GONZALEZ
Role:
SENIOR EVP OF HUMAN RESOURCES
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Fax:
3059384044
Fax:
3059940054

Legal Entity Identifier

LEI Number:
2549007TCSPQMUEFUL13

Registration Details:

Initial Registration Date:
2022-06-16
Next Renewal Date:
2025-06-16
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
591829984
Plan Year:
2016
Number Of Participants:
391
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
308
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
282
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
282
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
380
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000032772 MIAMI BEACH COMMUNITY HEALTH CENTER CLINICAL CAMPUS EXPIRED 2012-04-05 2017-12-31 - 11645 BISCAYNE BOULEVARD,SUITE 207, MIAMI, FL, 33181
G09000113770 COOP EXPIRED 2009-06-04 2014-12-31 - MIAMI BEACH COMMUNITY HEALTH CENTER, 710 ALTON ROAD, MIAMI BEACH, FL, 33139

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-22 11645 BISCAYNE BLVD, 207, MIAMI, FL 33181 -
CHANGE OF MAILING ADDRESS 2024-01-22 11645 BISCAYNE BLVD, 207, MIAMI, FL 33181 -
REGISTERED AGENT ADDRESS CHANGED 2018-05-14 215 S MONROE ST STE 601, TALLAHASSEE, FL 32301 -
AMENDMENT 2012-08-10 - -
REGISTERED AGENT NAME CHANGED 2012-08-10 DILLON, WILLIAM P -
NAME CHANGE AMENDMENT 2001-10-10 MIAMI BEACH COMMUNITY HEALTH CENTER INC. -
NAME CHANGE AMENDMENT 1981-07-02 STANLEY C. MYERS COMMUNITY HEALTH CENTER, INC. -

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-29
AMENDED ANNUAL REPORT 2019-08-09
ANNUAL REPORT 2019-01-10
AMENDED ANNUAL REPORT 2018-06-08
Reg. Agent Change 2018-05-14

USAspending Awards / Financial Assistance

Date:
2023-09-05
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)
Obligated Amount:
589000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
391649.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-07-12
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM
Obligated Amount:
1393451.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
601704.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-10-21
Awarding Agency Name:
Federal Communications Commission
Transaction Description:
TELEHEALTH FOR NORTH MIAMI CENTER
Obligated Amount:
213834.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
59-1829984
In Care Of Name:
% ALAN P LAYNG
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:
1979-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
3269300
Current Approval Amount:
3269300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
3281172.49

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Date of last update: 02 Jun 2025

Sources: Florida Department of State