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NORTHWEST BEHAVIORAL HEALTH SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: NORTHWEST BEHAVIORAL 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: 24 Jun 1992 (33 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 08 Jan 1996 (29 years ago)
Document Number: N49538
FEI/EIN Number 593128476

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

Address: 2392 N. EDGEWOOD AVENUE, JACKSONVILLE, FL, 32254, US
Mail Address: 2392 N Edgewood Ave, JACKSONVILLE, FL, 32254, US
ZIP code: 32254
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GLOVER TERRI D Chief Executive Officer 11 E FORSYTH ST, Jacksonville, FL, 32226
PARKER-BELL BERNICE Vice President 10887 CHADRON DRIVE, Jacksonville, FL, 32218
HOPKINS MELANIE President 303 N LIBERTY STREET, Jacksonville, FL, 32202
THOMAS ODEAN Treasurer 8000 RAMSGATE RD, JACKSONVILLE, FL, 32208
MAZEKE KENTISHA Secretary 3908 VICTORIA LAKE DR, JACKSONVILLE, FL, 32226
ESTELL REGINALD J Agent 303 N. Liberty Street, JACKSONVILLE, FL, 32202

National Provider Identifier

NPI Number:
1568636181

Authorized Person:

Name:
MS. VERONICA GRIFFIN
Role:
CASE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
9048540506

Form 5500 Series

Employer Identification Number (EIN):
593128476
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
47
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-04-01 303 N. Liberty Street, JACKSONVILLE, FL 32202 -
CHANGE OF MAILING ADDRESS 2020-04-10 2392 N. EDGEWOOD AVENUE, JACKSONVILLE, FL 32254 -
REGISTERED AGENT NAME CHANGED 2018-04-23 ESTELL, REGINALD J. -
NAME CHANGE AMENDMENT 1996-01-08 NORTHWEST BEHAVIORAL HEALTH SERVICES, INC. -
CHANGE OF PRINCIPAL ADDRESS 1995-04-26 2392 N. EDGEWOOD AVENUE, JACKSONVILLE, FL 32254 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000144774 LAPSED 16-2017-CC-010383-X DUVAL COUNTY COURT 2018-01-25 2023-04-12 $10,988.97 ADVANCED MD, INC., A DELAWARE CORPORATION, C/O SPRECHMAN & FISHER, P.A., 2775 SUNNY ISLES BLVD 100, NORTH MIAMI BEACH, FL 33160

Documents

Name Date
ANNUAL REPORT 2024-04-22
AMENDED ANNUAL REPORT 2023-10-13
AMENDED ANNUAL REPORT 2023-07-18
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-01
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-25

USAspending Awards / Financial Assistance

Date:
2022-01-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
195000.00
Total Face Value Of Loan:
195000.00
Date:
2021-03-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
310893.25
Total Face Value Of Loan:
310893.25

OSHA's Inspections within Industry

Inspection Summary

Date:
2021-07-29
Type:
Monitoring
Address:
2392 NORTH EDGEWOOD AVE, JACKSONVILLE, FL, 32254
Safety Health:
Safety
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
59-3128476
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)
Ruling Date:
2021-10
National Taxonomy Of Exempt Entities:
Mental Health & Crisis Intervention: Community Mental Health Center
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
280913
Current Approval Amount:
280913
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
284627.29
Date Approved:
2021-03-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
310893.25
Current Approval Amount:
310893.25
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
312965.62

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Date of last update: 03 Jun 2025

Sources: Florida Department of State