| Entity Name: | BLACKSTONE MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Nov 2010 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 09 Nov 2015 (9 years ago) |
| Document Number: | L10000120927 |
| FEI/EIN Number | 900634405 |
| Mail Address: | 550 N Reo Street, TAMPA, FL, 33609, US |
| Address: | 550 N. REO STREET, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BLACKSTONE MEDICAL SERVICES, LLC, MISSISSIPPI | 1015524 | MISSISSIPPI |
| Headquarter of | BLACKSTONE MEDICAL SERVICES, LLC, ALABAMA | 000-062-503 | ALABAMA |
| Headquarter of | BLACKSTONE MEDICAL SERVICES, LLC, KENTUCKY | 0845733 | KENTUCKY |
| Headquarter of | BLACKSTONE MEDICAL SERVICES, LLC, COLORADO | 20131100872 | COLORADO |
| Headquarter of | BLACKSTONE MEDICAL SERVICES, LLC, COLORADO | 20171042070 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699074716 | 2011-03-16 | 2024-08-26 | 4030 HENDERSON BLVD STE 145, TAMPA, FL, 336294940, US | 550 N REO ST STE 250, TAMPA, FL, 336091039, US | |||||||||||||||||||||||||
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| Phone | +1 813-831-2727 |
| Fax | 8882394616 |
Authorized person
| Name | VICK TIPNES |
| Role | CEO |
| Phone | 8138312727 |
Taxonomy
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017677000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Tipnes Vick | Agent | 550 N. REO STREET, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| TIPNES VICK | President | 550 N. REO STREET, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Reiss Michael | Corp | 550 N Reo Street, Tampa, FL, 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000002137 | BLACKSTONE MEDICAL SERVICES | ACTIVE | 2017-01-06 | 2027-12-31 | No data | 550 N REO STREET, SUITE 250, TAMPA, FL, 33609 |
| G11000017591 | BLACKSTONE MEDICAL SERVICES | EXPIRED | 2011-02-15 | 2016-12-31 | No data | 4543 S MANHATTAN AVENUE, SUITE 103A, TAMPA, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-29 | 550 N. REO STREET, SUITE 250, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-29 | 550 N. REO STREET, SUITE # 250, TAMPA, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-27 | 550 N. REO STREET, SUITE 250, TAMPA, FL 33609 | No data |
| LC STMNT OF RA/RO CHG | 2015-11-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-01 | Tipnes, Vick | No data |
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| SUNSHINE STATE HEALTH PLAN, INC. VS BLACKSTONE MEDICAL SERVICES, LLC | 2D2023-0764 | 2023-04-10 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | SUNSHINE STATE HEALTH PLAN, INC. |
| Role | Appellant |
| Status | Active |
| Representations | JACOB B. HANSON, ESQ. |
| Name | BLACKSTONE MEDICAL SERVICES, LLC |
| Role | Appellee |
| Status | Active |
| Representations | MATTHEW D. BRUMLEY, ESQ. |
| Name | HON. FRANCES M. PERRONE |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | HILLSBOROUGH CLERK |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2023-06-22 |
| Type | Motions Other |
| Subtype | Motion/Notice Voluntary Dismissal |
| Description | Notice of Voluntary Dismissal ~ APPELLANT'S NOTICE OF VOLUNTARY DISMISSAL |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Docket Date | 2023-06-22 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | ORDER GRANTING VOLUNTARY DISMISSAL ~ Pursuant to the notice of voluntary dismissal filed herein, this appeal is dismissed. |
| Docket Date | 2023-06-22 |
| Type | Misc. Events |
| Subtype | Case Closed |
| Description | Case Closed |
| Docket Date | 2023-06-22 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Judge |
| Docket Date | 2023-06-08 |
| Type | Order |
| Subtype | Order on Motion To Compel |
| Description | Order Denying Motion to Compel ~ Appellant's motion for an order to show cause is denied. Appellee shall serve theanswer brief within 20 days of the date of this order. Failure to timely serve the answerbrief may result in this appeal being perfected and assigned to a panel without it. |
| Docket Date | 2023-06-06 |
| Type | Motions Other |
| Subtype | Motion To Compel |
| Description | Motion To Compel ~ APPELLANT'S MOTION FOR ORDER TO SHOW CAUSE |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Docket Date | 2023-04-25 |
| Type | Brief |
| Subtype | Initial Brief |
| Description | Initial Appellant Brief on Merits |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Docket Date | 2023-04-25 |
| Type | Record |
| Subtype | Appendix to Initial Brief |
| Description | Appendix for Initial Brief |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Docket Date | 2023-04-12 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter 1 ~ AMENDED |
| Docket Date | 2023-04-11 |
| Type | Order |
| Subtype | Certificate of Service |
| Description | c of s; mailing addresses |
| Docket Date | 2023-04-11 |
| Type | Misc. Events |
| Subtype | Certificate of Service |
| Description | Certificate of Service ~ AMENDED |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Docket Date | 2023-04-11 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter 1 |
| Docket Date | 2023-04-10 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | FP:Fee Paid Through Portal |
| Docket Date | 2023-04-10 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ W/ORDER APPEALED |
| On Behalf Of | SUNSHINE STATE HEALTH PLAN, INC. |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-28 |
| CORLCRACHG | 2015-11-09 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
