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GRACE BEHAVIORAL SUPPORT SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: GRACE BEHAVIORAL SUPPORT 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: 27 Oct 2015 (9 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 Feb 2016 (9 years ago)
Document Number: N15000010515
FEI/EIN Number 47-5428829

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

Address: 3520 NW 191 Street, Miami Gardens, FL, 33056, US
Mail Address: 3520 NW 191 Street, Miami Gardens, FL, 33056, US
ZIP code: 33056
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992177893 2015-10-30 2015-10-30 780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL, 330543806, US 780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL, 330543806, US

Contacts

Phone +1 305-681-2500
Fax 3056812525

Authorized person

Name ALISON A HEWITT
Role COO
Phone 3056812500

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Key Officers & Management

Name Role Address
MILORD CHANTALE Agent 3520 NW 191 Street, Miami Gardens, FL, 33056
MAJOR QWONTANNEY Member 3520 NW 191 Street, Miami Gardens, FL, 33056
Bascombe Nekeisha DR Member 3520 NW 191 Street, Miami Gardens, FL, 33056
AUGUSTIN KENSIA Secretary 3520 NW 191 Street, Miami Gardens, FL, 33056
Milord Chantale Member 3520 NW 191 Street, Miami Gardens, FL, 33056

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-02-05 3520 NW 191 Street, Miami Gardens, FL 33056 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-05 3520 NW 191 Street, Miami Gardens, FL 33056 -
CHANGE OF PRINCIPAL ADDRESS 2018-02-11 3520 NW 191 Street, Miami Gardens, FL 33056 -
REGISTERED AGENT NAME CHANGED 2017-04-03 MILORD, CHANTALE -
AMENDMENT 2016-02-26 - -

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-02-11
ANNUAL REPORT 2017-04-03
Reg. Agent Change 2016-03-08
Amendment 2016-02-26

Date of last update: 02 Apr 2025

Sources: Florida Department of State