| Entity Name: | WHEAT COMMUNITY SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Jan 2020 (5 years ago) |
| Document Number: | N20000000388 |
| FEI/EIN Number | 84-4272791 |
| Address: | 2627 NORTHEAST 203RD STREET, STE 109, AVENTURA, FL 33180 |
| Mail Address: | 2627 NORTHEAST 203RD STREET, STE 109, AVENTURA, FL 33180 |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699359547 | 2021-05-07 | 2021-05-07 | 1511 PROSPERITY FARMS RD STE 200, LAKE PARK, FL, 334032046, US | 1511 PROSPERITY FARMS RD STE 200, LAKE PARK, FL, 334032046, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-528-2836 |
| Fax | 3056828994 |
Authorized person
| Name | MS. REGINA COOPER |
| Role | DIRECTOR |
| Phone | 3055282836 |
Taxonomy
| Taxonomy Code | 2083P0901X - Public Health & General Preventive Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1407821218 |
| State | FL |
| Name | Role |
|---|---|
| DAVID BROWN AND ASSOCIATES P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| COOPER, REGINA | Director | 2627 NORTHEAST 203RD STREET, STE 109, AVENTURA, FL 33180 |
| STINSON, JAMES | Director | 2627 NORTHEAST 203RD STREET, STE 109, AVENTURA, FL 33180 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| Domestic Non-Profit | 2020-01-14 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
