Search icon

INDIAN RIVER HEALTH SERVICES INC - Florida Company Profile

Company Details

Entity Name: INDIAN RIVER HEALTH SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 29 Apr 1986 (39 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 10 Sep 2019 (6 years ago)
Document Number: N14650
FEI/EIN Number 65-0029298

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1000 36th Street, Vero Beach, FL, 32960, US
Mail Address: 1000 36th Street, Vero Beach, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588298285 2020-03-03 2023-02-06 6801 BRECKSVILLE RD, STE 20, RK2-7, INDEPENDENCE, OH, 441315062, US 1000 36TH ST, VERO BEACH, FL, 329604862, US

Contacts

Phone +1 216-636-4969
Fax 2166365956
Phone +1 772-567-4311

Authorized person

Name TIMOTHY L. LONGVILLE
Role CHIEF ACCT OFFICE & CONTROLLER, CCF
Phone 2166367416

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary No
Taxonomy Code 207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary No
Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Peter David M.D. Director 1000 36th Street, Vero Beach, FL, 32960
Rochester Charmaine DHA,CPA Director 1000 36th Street, Vero Beach, FL, 32960
Del Castillo Barbara Esq. Secretary 1000 36th Street, Vero Beach, FL, 32960
Peter David M.D. President 1000 36th Street, Vero Beach, FL, 32960
Greenwood Alexander Vice President 1000 36th Street, Vero Beach, FL, 32960
Laraway Dennis Chief Financial Officer 1000 36th Street, Vero Beach, FL, 32960
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000109480 INDIAN RIVER MEDICAL ASSOCIATES ACTIVE 2018-10-08 2028-12-31 - 1000 36TH STREET, VERO BEACH, FL, 32960
G12000071497 INDIAN RIVER MEDICAL ASSOCIATES EXPIRED 2012-07-16 2017-12-31 - 1000 36TH STREET, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 1000 36th Street, Vero Beach, FL 32960 -
CHANGE OF MAILING ADDRESS 2024-04-19 1000 36th Street, Vero Beach, FL 32960 -
NAME CHANGE AMENDMENT 2019-09-10 INDIAN RIVER HEALTH SERVICES INC -
REGISTERED AGENT NAME CHANGED 2019-05-23 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2019-05-23 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
NAME CHANGE AMENDMENT 1986-10-30 INDIAN RIVER HEALTH SERVICES CORPORATION -

Documents

Name Date
ANNUAL REPORT 2024-04-19
AMENDED ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-29
Name Change 2019-09-10
Reg. Agent Change 2019-05-23
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-02

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0029298 Association Unconditional Exemption 1000 36TH ST, VERO BEACH, FL, 32960-4862 1928-10
In Care of Name -
Group Exemption Number 3641
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Subordinate - This code is used if the organization is a subordinate in a group ruling.
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2018-12
Asset 1 to 9,999
Income 0
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name INDIAN RIVER HEALTH SERVICES INC
EIN 65-0029298
Tax Period 201812
Filing Type P
Return Type 990EZ
File View File
Organization Name INDIAN RIVER HEALTH SERVICES CORPORATION
EIN 65-0029298
Tax Period 201809
Filing Type P
Return Type 990EZ
File View File
Organization Name INDIAN RIVER HEALTH SERVICES CORPORATION
EIN 65-0029298
Tax Period 201709
Filing Type E
Return Type 990EZ
File View File
Organization Name INDIAN RIVER HEALTH SERVICES CORPORATION
EIN 65-0029298
Tax Period 201609
Filing Type E
Return Type 990EZ
File View File
Organization Name INDIAN RIVER HEALTH SERVICES INC
EIN 65-0029298
Tax Period 201509
Filing Type E
Return Type 990EZ
File View File

Date of last update: 01 Mar 2025

Sources: Florida Department of State