Entity Name: | ADVANCED CARE 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: | 20 Mar 2015 (10 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 28 Jun 2019 (6 years ago) |
Document Number: | N15000002927 |
FEI/EIN Number |
47-3214118
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 6151 MIRAMAR PARKWAY, SUITE 310, MIRAMAR, FL, 33023 |
Mail Address: | 1620 NE 148th Street, North Miami, FL, 33181, US |
ZIP code: | 33023 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902298128 | 2015-02-25 | 2024-03-07 | 1620 NE 148TH ST, NORTH MIAMI, FL, 331811021, US | 1620 NE 148TH ST, NORTH MIAMI, FL, 331811021, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 786-298-7379 |
Phone | +1 305-705-6445 |
Fax | 8888906583 |
Authorized person
Name | DR. DAVID CORADIN |
Role | CMO |
Phone | 9545015274 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 000441500 |
State | FL |
Issuer | MEDICAID |
Number | 006246600 |
State | FL |
Name | Role | Address |
---|---|---|
WILLIAMS GERDA M | Vice Chairman | 6151 MIRAMAR PARKWAY, SUITE 310, MIRAMAR, FL, 33023 |
Leno Terry | Chief Operating Officer | 1620 NE 148th Street, North Miami, FL, 33181 |
DUNN GAYON | Chief Executive Officer | 6151 MIRAMAR PARKWAY, MIRAMAR, FL, 33023 |
WILLIAMS GERDA M | Agent | 1620 NE 148th Street, North Miami, FL, 33181 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000042985 | J &C HEALTHCARE CENTER | ACTIVE | 2021-03-29 | 2026-12-31 | - | 1620 NE 148TH STEERY, NORTH MIAMI, FL, 33181 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2019-08-19 | 6151 MIRAMAR PARKWAY, SUITE 310, MIRAMAR, FL 33023 | - |
REGISTERED AGENT ADDRESS CHANGED | 2019-08-19 | 1620 NE 148th Street, North Miami, FL 33181 | - |
REINSTATEMENT | 2019-06-28 | - | - |
REGISTERED AGENT NAME CHANGED | 2019-06-28 | WILLIAMS, GERDA M | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-22 |
ANNUAL REPORT | 2024-02-23 |
ANNUAL REPORT | 2023-02-07 |
ANNUAL REPORT | 2022-02-21 |
ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2020-01-13 |
AMENDED ANNUAL REPORT | 2019-08-19 |
REINSTATEMENT | 2019-06-28 |
ANNUAL REPORT | 2016-04-30 |
Domestic Non-Profit | 2015-03-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State