| Entity Name: | FOUNDATION INTERVENTION SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Nov 2016 (8 years ago) |
| Document Number: | L16000204754 |
| FEI/EIN Number | 81-4377600 |
| Address: | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 |
| Mail Address: | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891237244 | 2016-11-15 | 2022-02-27 | 4776 VIA BARI APT 6304, LAKE WORTH, FL, 334636793, US | 4776 VIA BARI APT 6304, LAKE WORTH, FL, 334636793, US | |||||||||||||||
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| Phone | +1 954-326-2262 |
Authorized person
| Name | RUSHELLE CAMPBELL |
| Role | DIRECTOR |
| Phone | 9543262262 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, RUSHELLE | Agent | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, RUSHELLE | Manager | 4776 VIA BARI, #6304 LAKE WORTH, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 4776 VIA BARI, #6304, LAKE WORTH, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-06 |
| ANNUAL REPORT | 2019-09-25 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-11-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5282058005 | 2020-06-27 | 0455 | PPP | 818 ASBURY WAY, BOYNTON BEACH, FL, 33426 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
