| Entity Name: | NEW HORIZONS FOR COMMUNITY-BOUND INDIVIDUALS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 10 Aug 1979 (45 years ago) |
| Document Number: | 748492 |
| FEI/EIN Number | 591931651 |
| Address: | 1340 S.E. 9TH AVENUE, SUITE 2, HIALEAH, FL, 33010, US |
| Mail Address: | 1340 S.E. 9TH AVENUE, SUITE 2, HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295105559 | 2015-09-30 | 2015-09-30 | 1340 S.E. 9TH AVENUE, SUITE 2, HIALEAH, FL, 330105947, US | 1340 SE 9TH AVENUE, SUITE 2, HIALEAH, FL, 330105947, US | |||||||||||||||||||||||
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| Phone | +1 305-887-1535 |
| Fax | 3058874948 |
Authorized person
| Name | MR. ED ALDAMA |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3058871535 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 683071496 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KATZENSTEIN DAVID | Agent | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| THOMAS CHERYL | Treasurer | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| CLARK JOHN | Vice President | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| ORDONEZ FRANCISCO | Director | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| WINTERS RHODA | Director | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| MAYRA ROLDAN | Director | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| KATZENSTEIN DAVID | President | 1340 S.E. 9TH AVENUE, HIALEAH, FL, 33010 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000039463 | FAYE CLARK'S NEW HORIZONS | ACTIVE | 2011-04-22 | 2026-12-31 | No data | 1340 SE 9TH AVENUE, SUITE #2, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2006-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09000020346 | TERMINATED | 2008-73158-CA-02 | DADE CTY. CIR. CIV. DIV. | 2008-07-21 | 2014-01-22 | $23,037.40 | LYON FINANCIAL SERVICES, INC., 1310 MADRID ST., STE. 100, MARSHALL, MN 56258 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
