| Entity Name: | COLUMBUS MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Oct 1998 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Dec 2016 (8 years ago) |
| Document Number: | M98000001229 |
| FEI/EIN Number |
752690132
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 350 SENTRY PARKWAY, SUITE 120, BUILDING 620, BLUE BELL, PA, 19422 |
| Mail Address: | 350 SENTRY PARKWAY, SUITE 120, BUILDING 620, BLUE BELL, PA, 19422 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750820908 | 2017-02-21 | 2018-10-26 | 500 E SWEDESFORD RD, SUITE 100, WAYNE, PA, 190871614, US | 5550 W EXECUTIVE DR STE 230, TAMPA, FL, 336091046, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 800-229-5116 |
Authorized person
| Name | KATHLEEN NOLAN |
| Role | SR. PROJECT MANAGER |
| Phone | 8002295116 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000979052F |
| State | GA |
| Issuer | MEDICAID |
| Number | 000979052J |
| State | GA |
| Issuer | MEDICAID |
| Number | 000979052K |
| State | GA |
| Issuer | MEDICAID |
| Number | 1512668 |
| State | TN |
| Issuer | MEDICAID |
| Number | 000979052D |
| State | GA |
| Issuer | MEDICAID |
| Number | 000979052H |
| State | GA |
| Issuer | MEDICAID |
| Number | 000979052I |
| State | GA |
| Issuer | MEDICAID |
| Number | 201212480A |
| State | IN |
| Issuer | MEDICAID |
| Number | 201087800A |
| State | IN |
| Issuer | MEDICAID |
| Number | 000979052G |
| State | GA |
| Issuer | MEDICAID |
| Number | 000979052E |
| State | GA |
| Name | Role | Address |
|---|---|---|
| Reynolds Lynn M | Auth | 350 SENTRY PARKWAY, BLUE BELL, PA, 19422 |
| COLUMBUS ORGANIZATION HOLDINGS, LLC | Manager | - |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000127170 | 1AA COLUMBUS MEDICAL SERVICES | ACTIVE | 2021-09-23 | 2026-12-31 | - | 350 SENTRY PARKWAY, BLD 620, STE 120, BLUE BELL, PA, 19422 |
| G19000037762 | SUPPORT ASSOCIATES OF TAMPA BAY | EXPIRED | 2019-03-22 | 2024-12-31 | - | 16112 NORTH FLORIDA AVENUE, LUTZ, FL, 33549 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-20 | 350 SENTRY PARKWAY, SUITE 120, BUILDING 620, BLUE BELL, PA 19422 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-20 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| REGISTERED AGENT NAME CHANGED | 2023-03-20 | CORPORATION SERVICE COMPANY | - |
| CHANGE OF MAILING ADDRESS | 2023-03-20 | 350 SENTRY PARKWAY, SUITE 120, BUILDING 620, BLUE BELL, PA 19422 | - |
| REINSTATEMENT | 2016-12-13 | - | - |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CANCEL ADM DISS/REV | 2007-10-08 | - | - |
| REVOKED FOR ANNUAL REPORT | 2007-09-14 | - | - |
| REINSTATEMENT | 2006-07-18 | - | - |
| REVOKED FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-13 |
| Reg. Agent Change | 2023-03-20 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-07 |
| REINSTATEMENT | 2016-12-13 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
