| Entity Name: | INTEGRATED HABILITATION SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jan 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Sep 2023 (a year ago) |
| Document Number: | P03000007889 |
| FEI/EIN Number | 030501612 |
| Address: | 330 SW 4th Avenue, HOMESTEAD, FL, 33030, US |
| Mail Address: | 330 SW 4th Avenue, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154075588 | 2022-02-04 | 2022-02-04 | 305 S FLAGLER AVE, HOMESTEAD, FL, 330307238, US | 305 S FLAGLER AVE, HOMESTEAD, FL, 330307238, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-972-1026 |
Authorized person
| Name | MARCIE Y SANDERS |
| Role | CFO |
| Phone | 3059721026 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000063300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAYO ELLA | Agent | 330 SW 4th Ave, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| Mayo Ella | President | 330 SW4th Avenue, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| Sanders Marcie | Chief Financial Officer | 330 SW 4th Ave, Homestead, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| Ulloa Yoselin | Director | 330 SW 4th Ave, Homestead, FL, 330307034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-30 | 330 SW 4th Avenue, HOMESTEAD, FL 33030 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-30 | 330 SW 4th Avenue, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 330 SW 4th Ave, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-25 | MAYO, ELLA | No data |
| REINSTATEMENT | 2023-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2014-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-30 |
| AMENDED ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2024-02-07 |
| REINSTATEMENT | 2023-09-25 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
