| Entity Name: | CCI BILLING SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Jun 2007 (18 years ago) |
| Date of dissolution: | 18 Apr 2013 (12 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 18 Apr 2013 (12 years ago) |
| Document Number: | M07000003309 |
| FEI/EIN Number |
208315149
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 92 E MCNAB RD, POMPANO BEACH, FL, 33060 |
| Mail Address: | 1121 N BETHLEHEM PIKE, SUITE 60-234, SPRING HOUSE, PA, 19477, US |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | TEXAS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528109485 | 2007-02-12 | 2008-08-26 | 92 E MCNAB RD, POMPANO BEACH, FL, 330609238, US | 1500 LEE BLVD, LEHIGH ACRES, FL, 339364835, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-545-0337 |
| Fax | 9545453497 |
| Phone | +1 239-368-4517 |
Authorized person
| Name | CHARLES TRENTHAM |
| Role | OWNER |
| Phone | 9545450337 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 278080100 |
| State | FL |
| Issuer | WORKMANS COMP |
| Number | 612438900 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DG2104 |
| State | FL |
| Issuer | BLUE CROSS |
| Number | 99300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRENTHAM CHARLES MD | Manager | 92 E MCNAB RD, POMPANO BEACH, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2013-04-18 | - | - |
| CHANGE OF MAILING ADDRESS | 2013-04-18 | 92 E MCNAB RD, POMPANO BEACH, FL 33060 | - |
| CANCEL ADM DISS/REV | 2008-10-29 | - | - |
| REVOKED FOR ANNUAL REPORT | 2008-09-26 | - | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2013-04-18 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-04-29 |
| REINSTATEMENT | 2008-10-29 |
| Foreign Limited | 2007-06-01 |
Date of last update: 03 May 2025
Sources: Florida Department of State
