| Entity Name: | HOUSING PARTNERSHIP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 23 Jan 1986 (39 years ago) |
| Document Number: | N13117 |
| FEI/EIN Number | 592704597 |
| Address: | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404, US |
| Mail Address: | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404, US |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043976814 | 2021-11-16 | 2022-08-22 | 2001 W BLUE HERON BLVD, RIVIERA BEACH, FL, 334045003, US | 2865 MELALEUCA DR, WEST PALM BEACH, FL, 334065403, US | |||||||||||||||||||||||
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| Phone | +1 561-841-3500 |
Authorized person
| Name | JENNIFER CRANE |
| Role | BILLING MANAGER |
| Phone | 5618413500 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020330902 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 25490097TM2LBT6N1I46 | N13117 | US-FL | GENERAL | ACTIVE | 1986-01-23 | |||||||||||||||||||
|
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| Legal | c/o Community Partners of South Florida, 2001 W. Blue Heron Blvd., Riviera Beach, US-FL, US, 33404 |
| Headquarters | 2001 W. Blue Heron Blvd., Riviera Beach, US-FL, US, 33404 |
Registration details
| Registration Date | 2021-10-26 |
| Last Update | 2024-09-26 |
| Status | LAPSED |
| Next Renewal | 2024-09-26 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | N13117 |
| Name | Role |
|---|---|
| COMMUNITY PARTNERS OF SOUTH FLORIDA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Pelton Charlotte | Chairman | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| Powell Kelly | Chief Executive Officer | 2001 W BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| Dukes-Chisholm Cornesha | Director | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Lowery Charlyn | Director | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| Lynott Brian | Vice Chairman | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| O'HARA NATALIE | Chief Financial Officer | 2001 W BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000023211 | COMMUNITY PARTNERS OF SOUTH FLORIDA | ACTIVE | 2019-02-15 | 2029-12-31 | No data | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| G18000067511 | COMMUNITY PARTNERS | EXPIRED | 2018-06-12 | 2023-12-31 | No data | 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| G17000019823 | PAHOKEE YOUTH ENRICHMENT ACADEMY | EXPIRED | 2017-02-23 | 2022-12-31 | No data | HOUSING PARTNERSHIP, INC., 2001 W. BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| G14000039435 | VILLAGE FOR CHANGE | EXPIRED | 2014-04-21 | 2024-12-31 | No data | 2001 W BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| G13000096155 | PK YOUTH ENRICHMENT ACADEMY | EXPIRED | 2013-09-30 | 2018-12-31 | No data | 2001 W BLUE HERON BLVD, RIVIERA BEACH, FL, 33404 |
| G13000036752 | COMMUNITY PARTNERS OF SOUTH FLORIDA | EXPIRED | 2013-04-16 | 2018-12-31 | No data | 2001 BLUE HERON BLVD. W., RIVIERA BEACH, FL, 33404 |
| G11000088374 | COMMUNITY PARTNERSHIP GROUP | EXPIRED | 2011-09-07 | 2016-12-31 | No data | 2001 BLUE HERON BLVD., W., RIVIERA BEACH, FL, 33401 |
| G10000093440 | PROSPERITY CENTER | EXPIRED | 2010-10-12 | 2015-12-31 | No data | 2001 W. BLUE HERON BLVD., RIVIERA BEACH, FL, 33404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2006-01-20 | No data | No data |
| AMENDMENT | 1996-07-15 | No data | No data |
| NAME CHANGE AMENDMENT | 1994-09-27 | HOUSING PARTNERSHIP, INC. | No data |
| AMENDMENT | 1988-04-04 | No data | No data |
| REINSTATEMENT | 1988-03-29 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1987-11-16 | No data | No data |
| AMENDMENT | 1987-04-02 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
