| Entity Name: | MAGELLAN MEDICAID ADMINISTRATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Jan 1978 (47 years ago) |
| Date of dissolution: | 08 Dec 2022 (2 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 08 Dec 2022 (2 years ago) |
| Document Number: | 839906 |
| FEI/EIN Number |
540849793
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, US |
| Address: | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA, 23060, US |
| Place of Formation: | VIRGINIA |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| KAMAL MOSTAFA | President | 11013 W. BROAD STREET, GLEN ALLEN, VA, 23060 |
| ALCORN TERESA | Vice President | 4800 N. SCOTTSDALE ROAD, SCOTTSDALE, AZ, 85251 |
| DELK MEREDITH | SENI | 4800 N Scottsdale Road, SCOTTSDALE, AZ, 85251 |
| FASOLA KENNETH | Director | 4801 E. Washington Street, Phoenix, AZ, 85034 |
| Duke Derrick | Vice President | 4801 E. Washington Street, Phoenix, AZ, 85034 |
| MCQUILLEN MICHAEL | Vice President | 8621 ROBERT FULTON DR, COLUMBIA, MD, 21046 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT CHANGED | 2022-12-08 | REGISTERED AGENT REVOKED | - |
| WITHDRAWAL | 2022-12-08 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-04-11 | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA 23060 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-25 | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA 23060 | - |
| NAME CHANGE AMENDMENT | 2010-06-15 | MAGELLAN MEDICAID ADMINISTRATION, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2009-10-29 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-29 | 1201 HAYS ST, TALLASSAEE, FL 32301 | - |
| REINSTATEMENT | 2006-02-10 | - | - |
| REVOKED FOR ANNUAL REPORT | 2005-09-16 | - | - |
| NAME CHANGE AMENDMENT | 1991-12-11 | FIRST HEALTH SERVICES CORPORATION | - |
| Name | Date |
|---|---|
| Withdrawal | 2022-12-08 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-04-09 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
