| Entity Name: | MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Jun 1982 (43 years ago) |
| Document Number: | 763805 |
| FEI/EIN Number | 592210228 |
| Mail Address: | 2700 WEST 81 STREET, HIALEAH, FL, 33016, US |
| Address: | 2200 NW 107 Avenue, Miami, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689711434 | 2007-01-31 | 2020-08-22 | 7100 SW 122ND AVE, MIAMI, FL, 331832608, US | 7100 SW 122ND AVE, MIAMI, FL, 331832608, US | |||||||||||||||||||
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| Phone | +1 305-275-1340 |
| Fax | 3052737973 |
Authorized person
| Name | DR. SUE GALLAGHER |
| Role | ASSOCIATE DIRECTOR |
| Phone | 3055990899 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| License Number | 4063096 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUSTIG ROY R | Agent | 20900 NE 30th Avenue, Aventura, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Betty | Chief Financial Officer | 2700 WEST 81 STREET, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| Gluck Linda | President | 2700 WEST 81 STREET, HIALEAH, FL, 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000002742 | UNITED CEREBRAL PALSY OF SOUTH FLORIDA | ACTIVE | 2023-01-06 | 2028-12-31 | No data | 2700 WEST 81ST STREET, HIALEAH, FL, 33016 |
| G16000140412 | CREATIVE BREAKTHROUGH ART STUDIO | EXPIRED | 2016-12-29 | 2021-12-31 | No data | 2700 W. 81 STREET, HIALEAH, FL, 33016 |
| G16000048797 | UNITED COMMUNITY OPTIONS OF SOUTH FLORIDA | ACTIVE | 2016-05-16 | 2027-12-31 | No data | 2700 W. 81 STREET, HIALEAH, FL, 33016 |
| G16000033533 | COMMUNITY OPTIONS OF SOUTH FLORIDA | EXPIRED | 2016-04-01 | 2021-12-31 | No data | 2700 W. 81 STREET, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-05-03 | No data | No data |
| AMENDMENT | 2019-04-10 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
