| Entity Name: | TIPH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Sep 2019 (5 years ago) |
| Document Number: | L19000234506 |
| FEI/EIN Number | 84-3183693 |
| Address: | 1490 NE Pine Island Rd #7F, Cape Coral, FL, 33909, US |
| Mail Address: | 1490 NE Pine Island Rd #7F, Cape Coral, FL, 33909, US |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972114536 | 2020-08-16 | 2020-08-16 | 2637 NW 9TH ST, CAPE CORAL, FL, 339935717, US | 1490 NE PINE ISLAND RD STE 7E-F, CAPE CORAL, FL, 339092135, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 302-670-6753 |
| Phone | +1 727-513-9076 |
Authorized person
| Name | TIFFANI BRIANA STARKEY |
| Role | OWNER |
| Phone | 7275139076 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106111700 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Starkey Sarai | Manager | 1490 NE Pine Island Rd #7F, Cape Coral, FL, 33909 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000055813 | EXPLORE THERAPY NETWORK | ACTIVE | 2023-05-02 | 2028-12-31 | No data | 1490 NE PINE ISLAND RD, 7F, CAPE CORAL, FL, 33909 |
| G22000158429 | BEHAVIOR BLUEPRINT | ACTIVE | 2022-12-22 | 2027-12-31 | No data | 1490 NE PINE ISLAND RD, #7E, CAPE CORAL, FL, 33909 |
| G20000032247 | ABA THERAPY | ACTIVE | 2020-03-13 | 2025-12-31 | No data | 2637 NW 9TH ST, CAPE CORAL, FL, 33993 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-08 | 1490 NE Pine Island Rd #7F, Cape Coral, FL 33909 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-08 | 1490 NE Pine Island Rd #7F, Cape Coral, FL 33909 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-08 | Registered Agents Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-08 | 7901 4th St N STE 300, St. Petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| AMENDED ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-04-21 |
| Florida Limited Liability | 2019-09-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
