| Entity Name: | INSTITUTE FOR FAMILY CENTERED SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Active |
| Date Filed: | 11 May 2000 (25 years ago) |
| Document Number: | F00000002667 |
| FEI/EIN Number | 54-1503721 |
| Address: | 6600 France Avenue South, Suite 350, Edina, MN 55435 |
| Mail Address: | 6600 France Avenue South, Suite 350, Edina, MN 55435 |
| Place of Formation: | VIRGINIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255506523 | 2008-04-28 | 2024-05-07 | 3210 SKIPWITH RD, SUITE B, HENRICO, VA, 232944443, US | 2500 QUANTUM LAKES DR, BOYNTON BEACH, FL, 334268324, US | |||||||||||||||||||||||||
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| Phone | +1 804-346-0051 |
| Fax | 8043460494 |
| Phone | +1 954-977-9775 |
| Fax | 9549779776 |
Authorized person
| Name | MARY PATRICIA RODENBERG-ROBERTS |
| Role | VP & SR ASST GENERAL COUNSEL |
| Phone | 9528362234 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076210500 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MARTIN, GINA L. | Secretary | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Name | Role | Address |
|---|---|---|
| Kaufman, Philip Roberts | Director | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Callen, David R. | Director | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Szwed, Danna M. | Director | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Name | Role | Address |
|---|---|---|
| Kaufman, Philip Roberts | Chief Executive Officer | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000034243 | FLORIDA MENTOR | EXPIRED | 2014-04-07 | 2024-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-07 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-07 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2024-02-09 |
| AMENDED ANNUAL REPORT | 2023-11-28 |
| AMENDED ANNUAL REPORT | 2023-08-15 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-16 |
| Reg. Agent Change | 2020-10-07 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-04 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
