| Entity Name: | COVENANT HOUSE FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 02 Mar 1983 (42 years ago) |
| Document Number: | 767249 |
| FEI/EIN Number | 592323607 |
| Address: | COVENANT HOUSE FLORIDA, INC., 733 BREAKERS AVE., FORT LAUDERDALE, FL, 33304, US |
| Mail Address: | COVENANT HOUSE FLORIDA, INC., 733 BREAKERS AVE., FORT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538333778 | 2008-04-18 | 2008-04-18 | 733 BREAKERS AVENUE, FT. LAUDERDALE, FL, 333044100, US | 733 BREAKERS AVENUE, FT. LAUDERDALE, FL, 333044100, US | |||||||||||||||||||
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| Fax | 9545656551 |
| Phone | +1 954-568-7939 |
Authorized person
| Name | MR. JAMES GRESS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9545687925 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1006AD360701 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRINCANELLO RENEE | Agent | 733 BREAKERS AVE., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| TRINCANELLO RENEE | Secretary | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| BASS LEONARD Dr. | Director | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| SELIMOS SUSAN | Director | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| TRINCANELLO RENEE | CE | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| KHALIL MOHAMED | Chairman | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| Bedrossian Bill | President | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| HENRIQUEZ STEVEN J | Treasurer | COVENANT HOUSE FLORIDA, INC., FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| NAME CHANGE AMENDMENT | 1986-07-01 | COVENANT HOUSE FLORIDA, INC. | No data |
| AMENDMENT | 1984-11-06 | No data | No data |
| NAME CHANGE AMENDMENT | 1984-11-06 | COVENANT HOUSE-FORT LAUDERDALE, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
