| Entity Name: | MBI HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jan 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Oct 2022 (2 years ago) |
| Document Number: | L21000028079 |
| FEI/EIN Number | 86-1936992 |
| Address: | 7200 WISCONSIN AVE, 702, BETHESDA, MD 20814 |
| Mail Address: | 7200 WISCONSIN AVE, 702, BETHESDA, MD 20814 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558953844 | 2021-02-08 | 2021-02-08 | 7200 WISCONSIN AVE STE 702, BETHESDA, MD, 208144891, US | 1201 HAYS ST, TALLAHASSEE, FL, 323012699, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 202-215-5348 |
Authorized person
| Name | JOHN KAMYA |
| Role | PRESIDENT |
| Phone | 2022155348 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORPORATE SERVICE COMPANY | Agent | 1201 HAYS ST., TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| KAMYA, JOHN | Manager | 7200 WISCONSIN AVE, 702 BETHESDA, MD 20814 |
| TCHOUFA, ROGER | Manager | 7200 WISCONSIN AVE, 702 BETHESDA, MD 20814 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-27 | 7200 WISCONSIN AVE, 702, BETHESDA, MD 20814 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-27 | 7200 WISCONSIN AVE, 702, BETHESDA, MD 20814 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-27 | CORPORATE SERVICE COMPANY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-31 |
| REINSTATEMENT | 2022-10-27 |
| Florida Limited Liability | 2021-01-12 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
