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  5. METTHEN INC.

METTHEN INC.

Company Details

Entity Name: METTHEN INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Sep 2004 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 20 Aug 2020 (4 years ago)
Document Number: P04000129251
FEI/EIN Number 201612258
Address: 225 NW 79 AVENUE, MARGATE, FL, 33063, US
Mail Address: 225 NW 79 AVENUE, MARGATE, FL, 33063, US
ZIP code: 33063
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992957278 2008-10-17 2008-10-17 225 NW 79TH AVE, MARGATE, FL, 330634727, US 225 NW 79TH AVE, MARGATE, FL, 330634727, US

Contacts
Phone +1 954-609-8479
Fax 9549711943

Authorized person
Name MRS. ELSIE MONA HENRY
Role ADMINISTRATOR
Phone 9546098479

Taxonomy
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
License Number 688264196
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID WAIVER
Number 688264196
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
METTHEN INC 2023 201612258 2024-06-07 METTHEN INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 6108 NW 20TH COURT, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2022 201612258 2023-08-31 METTHEN INC 33
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 6108 NW 20TH COURT, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2021 201612258 2022-09-14 METTHEN INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 6108 NW 20TH COURT, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2022-09-14
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2020 201612258 2021-09-04 METTHEN INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2021-09-04
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2019 201612258 2020-08-05 METTHEN INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2018 201612258 2019-06-27 METTHEN INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2017 201612258 2019-04-25 METTHEN INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2019-04-25
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2016 201612258 2017-06-02 METTHEN INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2015 201612258 2018-02-19 METTHEN INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2018-02-19
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature
METTHEN INC 2014 201612258 2015-10-08 METTHEN INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9546098479
Plan sponsor’s address 225 NW 79TH AVENUE, MARGATE, FL, 33063

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing ELSIE HENRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HENRY ELSIE M Agent 6108 NW 20th Court, margate, FL, 33063

President

Name Role Address
HENRY ELSIE M President 6108 NW 20TH COURT, MARGATE, FL, 33063

Secretary

Name Role Address
HENRY ELSIE M Secretary 6108 NW 20TH COURT, MARGATE, FL, 33063

Director

Name Role Address
HENRY ELSIE M Director 6108 NW 20TH COURT, MARGATE, FL, 33063
HENRY FRANDZI Director 6108 NW 20TH COURT, MARGATE, FL, 33063

Vice President

Name Role Address
HENRY FRANDZI Vice President 6108 NW 20TH COURT, MARGATE, FL, 33063

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000068416 JONADAV GROUP HOME EXPIRED 2018-06-14 2023-12-31 No data 6108 NW 20TH CT, MARGATE, FL, 33063
G16000090753 MONA'S FOSTER HOME EXPIRED 2016-08-22 2021-12-31 No data 6108 NW 20TH CT, MARGATE, FL, 33063
G15000021070 MONA'S GROUP HOME ACTIVE 2015-02-26 2025-12-31 No data 6108 NW 20TH COURT, MARGATE, FL, 33063
G13000086724 METTHEN COMMUNICATIONS EXPIRED 2013-08-31 2018-12-31 No data 6108 NW 20 CT, MARGATE, FL, 33063
G09000186562 NVCS, NEW VOX COMMUNICATION SERVICES EXPIRED 2009-12-18 2014-12-31 No data 6108 NW 20 COURT, MARGATE, FL, 33063
G09050900137 MONA'S GROUP HOME EXPIRED 2009-02-18 2014-12-31 No data 5031 HERON COURT, COCONUT CREEK, FL, 33073
G09043900449 MONAS GROUP HOME EXPIRED 2009-02-12 2014-12-31 No data 5031 HERON COURT, COCONUT CREEK, FL, 33073
G08137900121 METTHEN FOOD EXPIRED 2008-05-16 2013-12-31 No data 225 NW 79 AVE, MARGATE, FL, 33063
G08137900120 METTHEN GROUP HOME EXPIRED 2008-05-16 2013-12-31 No data 225 NW 79 AVE, MARGATE, FL, 33063

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-03 HENRY, ELSIE Mona No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-01 6108 NW 20th Court, margate, FL 33063 No data
AMENDMENT 2020-08-20 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-01
Amendment 2020-08-20
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-01-27

Related by officers

HENRY ELSIE M

RIHENMET FINANCIAL SERVICES LLC GERDAFA LLC GCATMOSPHERE LLC GERDAFA SERVICES LLC PRESTIGE CARE ENTERPRISES, INC.

HENRY FRANDZI

TIPALE LLC BESICIM, LLC FRANMOS SERVICES LLC FMHAIB2B LLC HIABO, L.L.C. METHEN L.L.C. CIABO, LLC RED COMM, LLC HAIINVST LLC CALLISEZ LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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