| Entity Name: | THE COPE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2022 (3 years ago) |
| Document Number: | L22000295805 |
| FEI/EIN Number | 88-3084769 |
| Address: | 7500 W COMMERCIAL BLVD, #1109, LAUDERHILL, FL 33319 |
| Mail Address: | 7500 W COMMERCIAL BLVD, #1109, LAUDERHILL, FL 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073617155 | 2006-09-11 | 2008-08-08 | 103 PINEHAVEN DR, MARY ESTHER, FL, 325693323, US | 103 PINEHAVEN DR, MARY ESTHER, FL, 325693323, US | |||||||||||||||||||||||
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| Phone | +1 850-218-3532 |
Authorized person
| Name | MS. CHERYL ANN STULZAFT |
| Role | COMPREHENSIVE ASSESSOR |
| Phone | 8502183532 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW 3621 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 766724800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COPE, KARJA S | Agent | 7500 W COMMERCIAL BLVD, #1109, LAUDERHILL, FL 33319 |
| Name | Role | Address |
|---|---|---|
| COPE, KARJA S | Manager | 7500 W. COMMERCIAL BLVD #1109, LAUDERHILL 33319 UN |
| Name | Role | Address |
|---|---|---|
| COPE-EDWARDS, SHILOH | Authorized Member | 7500 W. COMMERCIAL BLVD, #1109 LAUDERHILL, FL 33319 |
| COPE-EDWARDS, MOSES | Authorized Member | 7500 W. COMMERCIAL BLVD, #1109 LAUDERHILL, FL 33319 |
| COPE-EDWARDS, ASHA | Authorized Member | 7500 W. COMMERCIAL BLVD, #1109 LAUDERHILL, FL 33319 |
| WHITTINGHAM COPE, LANSE | Authorized Member | 7500 W. COMMERCIAL BLVD #1109, LAUDERHILL, FL 33319 |
| Cope, Lynden O | Authorized Member | 7500 W COMMERCIAL BLVD, #1109 LAUDERHILL, FL 33319 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-20 |
| ANNUAL REPORT | 2023-03-22 |
| Florida Limited Liability | 2022-06-30 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
