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  5. MIAMI BEHAVIORAL HEALTH CENTER, INC.

MIAMI BEHAVIORAL HEALTH CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: MIAMI BEHAVIORAL HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Nov 1977 (48 years ago)
Last Event: AMENDMENT
Event Date Filed: 29 Mar 2010 (15 years ago)
Document Number: 741133
FEI/EIN Number 591787777
Address: 2300 NW 89th PLACE, DORAL, FL, 33172, US
Mail Address: 2300 NW 89th PLACE, DORAL, FL, 33172, US
ZIP code: 33172
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Rutledge Pierre Chairman 2300 NW 89th Place, Doral, FL, 33172
Fernandez Manuel A Agent 2300 NW 89th PLACE, DORAL, FL, 33172
PALMER JOSEPH Vice Chairman 2300 NW 89th PLACE, DORAL, FL, 33172
O'NAUGHTEN CRISTINA Treasurer 2300 NW 89th PLACE, DORAL, FL, 33172
FERNANDEZ MANUEL A Chief Executive Officer 2300 NW 89th PLACE, DORAL, FL, 33172
BROOKS ROBIN Chief Financial Officer 2300 NW 89th PLACE, DORAL, FL, 33172
NIEBLA MANNY Secretary 2300 NW 89th PLACE, DORAL, FL, 33172

Unique Entity ID

Unique Entity ID:
DBAAHQK53YB4
CAGE Code:
4L2B1
UEI Expiration Date:
2026-03-27

Business Information

Doing Business As:
POR TU SALUD MEDICAL CENTER
URL:
http://www.banyanhealth.org
Activation Date:
2025-03-28
Initial Registration Date:
2006-11-01

Commercial and government entity program

CAGE number:
4L2B1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-28
CAGE Expiration:
2030-03-28
SAM Expiration:
2026-03-27

Contact Information

POC:
MANUEL FERNANDEZ
Corporate URL:
http://www.banyanhealth.org

Immediate Level Owner

Vendor Certified:
2025-03-28
CAGE number:
66C93
Company Name:
BANYAN COMMUNITY HEALTH CENTER INC

National Provider Identifier

NPI Number:
1457319451
Link:
View on NPI website

Authorized Person:

Name:
ILEANA RUIZ GARCIA
Role:
COO
Phone:
3053986100

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No

Contacts:

Phone:
+1 305-398-6100
Fax:
3057572387
Phone:
+1 305-774-3300

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000092479 BANYAN HEALTH SYSTEMS, INC. EXPIRED 2012-09-20 2017-12-31 - 11031 NE 6TH AVENUE, MIAMI, FL, 33161
G12000088762 THE BANYAN ART CHALLENGE EXPIRED 2012-09-10 2017-12-31 - 11031 NE 6TH AVENUE, MIAMI, FL, 33161
G08343900007 POR TU SALUD MEDICAL CENTER EXPIRED 2008-12-08 2013-12-31 - 11031 NE 6 AVENUE, MIAMI, FL, 33161

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-06-19 Fernandez, Manuel A. -
CHANGE OF PRINCIPAL ADDRESS 2024-05-08 2300 NW 89th Place, Doral, FL 33172 -
REGISTERED AGENT ADDRESS CHANGED 2024-05-08 2300 NW 89th Place, Doral, FL 33172 -
CHANGE OF MAILING ADDRESS 2024-05-08 2300 NW 89th Place, Doral, FL 33172 -
AMENDMENT 2010-03-29 - -
REINSTATEMENT 2000-11-13 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -
NAME CHANGE AMENDMENT 1996-12-10 MIAMI BEHAVIORAL HEALTH CENTER, INC. -
NAME CHANGE AMENDMENT 1984-07-17 MIAMI MENTAL HEALTH CENTER, INC. -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-19
ANNUAL REPORT 2024-05-08
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-05-18
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-09-15
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-01

USAspending Awards / Financial Assistance

Date:
2010-09-17
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
POR TU SALUD! HIT SUPPLEMENT
Obligated Amount:
2196863.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
59-1787777
In Care Of Name:
% MARK GUTHRIE
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:
1978-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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BANYAN COMMUNITY HEALTH FOUNDATION, INC.
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BANYAN COMMUNITY HEALTH FOUNDATION, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.
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BANYAN COMMUNITY HEALTH FOUNDATION, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.
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2300 NW 89th PLACE, DORAL, FL, 33172, US

BANYAN COMMUNITY HEALTH FOUNDATION, INC.
Domestic Non-Profit
BANYAN COMMUNITY HEALTH FOUNDATION, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.
BANYAN COMMUNITY HEALTH FOUNDATION, INC.
Domestic Non-Profit
BANYAN COMMUNITY HEALTH FOUNDATION, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.
PHOENIX MANOR, INC.
Domestic Non-Profit
PHOENIX MANOR, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.
PHOENIX MANOR, INC.
Domestic Non-Profit
PHOENIX MANOR, INC., which currently Active, has registered address 2300 NW 89th PLACE, DORAL, FL, 33172, US.

Date of last update: 01 Aug 2025

Sources: Florida Department of State

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