Entity Name: | ADAPTIVE BEHAVIORAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Feb 2022 (3 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 20 Nov 2023 (a year ago) |
Document Number: | L22000058425 |
FEI/EIN Number | 88-1476241 |
Address: | 4083 US Highway 1, SUITE 102B, ROCKLEDGE, FL 32955 |
Mail Address: | 2903 West New Haven Ave, Unit 551, West Melbourne, FL 32904 |
ZIP code: | 32955 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700614930 | 2024-07-22 | 2024-07-22 | 2903 W NEW HAVEN AVE UNIT 551, WEST MELBOURNE, FL, 329043661, US | 4083 US HIGHWAY 1 STE 102B, ROCKLEDGE, FL, 329555308, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 786-214-2026 |
Authorized person
Name | PATRICIA J CARVIL |
Role | OWNER |
Phone | 7862142026 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | No |
Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
Is Primary | Yes |
Taxonomy Code | 251E00000X - Home Health Agency |
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 | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Is Primary | No |
Name | Role | Address |
---|---|---|
CARVIL, PATRICIA | Agent | 2903 West New Haven Ave, Unit 551, West Melbourne, FL 32904 |
Name | Role | Address |
---|---|---|
CARVIL, PATRICIA | Manager | 2903 West New Haven Ave, Unit 551 West Melbourne, FL 32904 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 4083 US Highway 1, SUITE 102B, ROCKLEDGE, FL 32955 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-18 | 4083 US Highway 1, SUITE 102B, ROCKLEDGE, FL 32955 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | 2903 West New Haven Ave, Unit 551, West Melbourne, FL 32904 | No data |
LC AMENDMENT | 2023-11-20 | No data | No data |
LC AMENDMENT | 2023-07-10 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2023-04-12 | CARVIL, PATRICIA | No data |
LC AMENDMENT AND NAME CHANGE | 2022-08-29 | ADAPTIVE BEHAVIORAL HEALTH LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
LC Amendment | 2023-07-10 |
ANNUAL REPORT | 2023-04-12 |
LC Amendment and Name Change | 2022-08-29 |
Florida Limited Liability | 2022-02-03 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State