| Entity Name: | FLORIDIAN BEHAVIORAL HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDIAN BEHAVIORAL HEALTHCARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 18 Aug 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L11000095266 |
| FEI/EIN Number |
453029123
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4699 NORTH FEDERAL HIGHWAY, 104A, POMPANO BEACH, FL, 33064 |
| Mail Address: | 4699 NORTH FEDERAL HIGHWAY, 104A, POMPANO BEACH, FL, 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578975678 | 2014-05-22 | 2014-05-22 | 4699 N FEDERAL HWY, SUITE 104A, POMPANO BEACH, FL, 330646510, US | 4699 N FEDERAL HWY, SUITE 104A, POMPANO BEACH, FL, 330646510, US | |||||||||||||||||||||
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| Phone | +1 954-580-3263 |
| Fax | 9543661658 |
Authorized person
| Name | MR. SHELVIN RICE |
| Role | CEO |
| Phone | 9545803263 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004884500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RICE SHELVIN | Manager | 4620 PIEDMONT ROW DRIVE 709, CHARLOTTE, NC, 28210 |
| RICE SHELVIN A | Agent | 4699 NORTH FEDERAL HIGHWAY, POMPANO BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-14 | 4699 NORTH FEDERAL HIGHWAY, 104A, POMPANO BEACH, FL 33064 | - |
| LC STMNT OF RA/RO CHG | 2014-04-14 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-03-19 | RICE, SHELVIN A | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-29 | 4699 NORTH FEDERAL HIGHWAY, 104A, POMPANO BEACH, FL 33064 | - |
| REINSTATEMENT | 2013-05-29 | - | - |
| CHANGE OF MAILING ADDRESS | 2013-05-29 | 4699 NORTH FEDERAL HIGHWAY, 104A, POMPANO BEACH, FL 33064 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-23 |
| CORLCRACHG | 2014-04-14 |
| ANNUAL REPORT | 2014-03-19 |
| REINSTATEMENT | 2013-05-29 |
| Florida Limited Liability | 2011-08-18 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
