| Entity Name: | BREVARD COMMUNITY HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| 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: | 16 Sep 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | N09000009073 |
| FEI/EIN Number |
270981625
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2226 SARNO ROAD, SUITE 111, MELBOURNE, FL, 32935, US |
| Mail Address: | 2226 SARNO ROAD, SUITE 111, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184952236 | 2009-12-01 | 2009-12-01 | 2226 SARNO RD STE 111, MELBOURNE, FL, 329353087, US | 2226 SARNO RD STE 111, MELBOURNE, FL, 329353087, US | |||||||||||||||||||||
|
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| Phone | +1 321-751-6390 |
| Fax | 3217516389 |
Authorized person
| Name | MR. AL O'CONNELL |
| Role | PRESIDENT |
| Phone | 3217254500 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | 108053 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GURRI JOSEPH A | Director | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| MARZANO PETER D | Director | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| NESCIO RICH T | Manager | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| O'CONNELL AL P | Manager | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| MCCLURE JOSEPH A | Director | 1130 HICKORY STREET, MELBOURNE, FL, 32901 |
| JOHANSEN DEBRA A | Manager | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| O'CONNELL AL | Agent | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000180794 | COMMUNITY HOMECARE | EXPIRED | 2009-12-03 | 2014-12-31 | - | 2226 SARNO ROAD, SUITE 111, MELBOURNE, FL, 32935 |
| G09000167460 | MIMA HOMECARE | EXPIRED | 2009-10-21 | 2014-12-31 | - | 1223 GATEWAY DRIVE, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-28 | 2226 SARNO ROAD, SUITE 111, MELBOURNE, FL 32935 | - |
| CHANGE OF MAILING ADDRESS | 2010-04-28 | 2226 SARNO ROAD, SUITE 111, MELBOURNE, FL 32935 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-28 |
| Domestic Non-Profit | 2009-09-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
