| Entity Name: | PROVISION OF THE HEARTS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | N11000003912 |
| FEI/EIN Number | 451737236 |
| Mail Address: | 1705 NW 73RD AVE, PLANTATION, FL, 33313, US |
| Address: | 2301 NW 3RD STREET, POMPANO BEACH, FL, 33069, US |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235562075 | 2013-08-15 | 2014-07-15 | 1705 NW 73RD AVE, PLANTATION, FL, 333134422, US | 1705 NW 73RD AVE, PLANTATION, FL, 333134422, US | |||||||||||||||
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| Phone | +1 954-746-8232 |
| Fax | 9547468231 |
Authorized person
| Name | THERESA SMITH |
| Role | BILLING MANAGER |
| Phone | 9547468232 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRICE JOHNSON MECHAC E | Agent | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| Shawnda Johnson | Secretary | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| Trice Johnson MECHAC | Chief Operating Officer | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| WRIGHT KATOYA | THER | 1705 NW 73RD, PLANTATAION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| MINCY CHRICHA Z | Vice President | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| JOHNSON NAKIA SR | Vice President | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| SCOTT TORI | tr | 1705 NW 73RD AVE, PLANTATION, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2013-10-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-10-19 | 2301 NW 3RD STREET, POMPANO BEACH, FL 33069 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-10-19 | 1705 NW 73RD AVE, PLANTATION, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2013-10-19 | 2301 NW 3RD STREET, POMPANO BEACH, FL 33069 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-10-19 | TRICE JOHNSON, MECHAC E | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-31 |
| REINSTATEMENT | 2013-10-19 |
| ANNUAL REPORT | 2012-01-11 |
| Domestic Non-Profit | 2011-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
