| Entity Name: | FAMILY ENRICHMENT BEHAVIORAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Mar 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Nov 2021 (3 years ago) |
| Document Number: | P04000045854 |
| FEI/EIN Number | 562451756 |
| Address: | 3829 HOLLYWOOD BLVD., Hollywood, FL, 33021, US |
| Mail Address: | 3829 HOLLYWOOD BLVD., Hollywood, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821240185 | 2008-10-17 | 2022-07-21 | 3829 HOLLYWOOD BLVD, SUITE D, HOLLYWOOD, FL, 33021, US | 3829 HOLLYWOOD BLVD STE D, HOLLYWOOD, FL, 330216790, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-367-3600 |
| Fax | 9543673601 |
Authorized person
| Name | MR. YVES JOSEPH |
| Role | CEO |
| Phone | 9545536439 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 675298596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 019091400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOSEPH YVES | Agent | 7958 Pines Blvd, Pembroke Pines, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| JOSEPH YVES | Director | 7958 Pines Blvd, Pembroke Pines, FL, 33024 |
| JOSEPH ANTONIO JR | Director | 7958 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| GILBERT BELIZAIRE JEAN | Director | 547 AKOSKUISCO STREET, BROOKLYN, NY, 11121 |
| PICOU DIAN A | Director | 7958 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| MURRAY ADELAIDE | Director | 8190 SW 28TH STREET, DAVIE, FL, 33328 |
| JOSEPH KHALIA | Director | 7958 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| JOSEPH YVES | President | 7958 Pines Blvd, Pembroke Pines, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| JOSEPH YVES | Secretary | 7958 Pines Blvd, Pembroke Pines, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| JOSEPH YVES | Treasurer | 7958 Pines Blvd, Pembroke Pines, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-11-29 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-22 | 7958 Pines Blvd, Unit 216, Pembroke Pines, FL 33024 | No data |
| NAME CHANGE AMENDMENT | 2017-02-17 | FAMILY ENRICHMENT BEHAVIORAL HEALTH SERVICES, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-26 | 3829 HOLLYWOOD BLVD., Suite D, Hollywood, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-26 | 3829 HOLLYWOOD BLVD., Suite D, Hollywood, FL 33021 | No data |
| CANCEL ADM DISS/REV | 2010-03-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-12-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-01-09 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000658072 | TERMINATED | 1000000764362 | BROWARD | 2017-11-29 | 2027-12-06 | $ 1,160.96 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-05 |
| Amendment | 2021-11-29 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-04-21 |
| Name Change | 2017-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
