| Entity Name: | BRIGHTVIEW CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jun 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 18 Feb 2020 (5 years ago) |
| Document Number: | L18000150452 |
| FEI/EIN Number | 83-0901168 |
| Address: | 731 DUVAL STATION ROAD, SUITE 107-231, Jacksonville, FL 32218 |
| Mail Address: | 731 DUVAL STATION ROAD, SUITE 107-231, Jacksonville, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316596976 | 2019-09-06 | 2024-08-19 | 731 DUVAL STATION ROAD, SUITE 107-231, JACKSONVILLE, FL, 322188331, US | 731 DUVAL STATION ROAD, SUITE 107-231, JACKSONVILLE, FL, 322188331, US | |||||||||||||||||||||
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| Phone | +1 904-496-2962 |
| Fax | 9044313554 |
Authorized person
| Name | DR. DANELLA DENISE MCINTYRE |
| Role | FOUNDER |
| Phone | 9044962962 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102244700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCINTYRE, DANELLA D | Agent | 731 Duval Station Road, Suite 107-231, Jacksonville, FL 32218 |
| Name | Role | Address |
|---|---|---|
| MCINTYRE, DANELLA D | Chief Executive Officer | 731 DUVAL STATION ROAD, SUITE 107-231 Jacksonville, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-24 | MCINTYRE, DANELLA D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-25 | 731 Duval Station Road, Suite 107-231, Jacksonville, FL 32218 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-23 | 731 DUVAL STATION ROAD, SUITE 107-231, Jacksonville, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-23 | 731 DUVAL STATION ROAD, SUITE 107-231, Jacksonville, FL 32218 | No data |
| LC STMNT OF RA/RO CHG | 2020-02-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-08-25 |
| ANNUAL REPORT | 2020-06-28 |
| CORLCRACHG | 2020-02-18 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-06-19 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
