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CASE MANAGEMENT SERVICES OF BREVARD, INC.

Company Details

Entity Name: CASE MANAGEMENT SERVICES OF BREVARD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 25 Feb 2019 (6 years ago)
Date of dissolution: 07 Mar 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Mar 2024 (a year ago)
Document Number: N19000002222
FEI/EIN Number 83-3844245
Address: 2500 WOODLAKE DR. NE, #101, PALM BAY, FL, 32905, US
Mail Address: 2500 WOODLAKE DR. NE, #101, PALM BAY, FL, 32905, US
ZIP code: 32905
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396466652 2022-09-06 2022-09-06 2500 WOODLAKE DR NE APT 101, PALM BAY, FL, 329053239, US 2500 WOODLAKE DR NE APT 101, PALM BAY, FL, 329053239, US

Authorized person

Name MR. KEITH HEINLY
Role CEO
Phone 3212651647

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
HEINLY KEITH G Agent 2500 WOODLAKE DR. NE, PALM BAY, FL, 32905

Chief Executive Officer

Name Role Address
HEINLY KEITH G Chief Executive Officer 2500 WOODLAKE DR. NE #101, PALM BAY, FL, 32905

Director

Name Role Address
Keene Angelika Director 3695 Lake Drive, COCOA, FL, 32926
Comito Art Director 600 Atlantis Rd, Melbourne, FL, 32904
Bonilla Morgan M Director 703 Davidson Street SE, Palm Bay, FL, 32909

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-03-07 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-03-07
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-03-13
Domestic Non-Profit 2019-02-25
Off/Dir Resignation 2019-02-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State