| Entity Name: | JOHN BIRD COMMUNITY SUPPORTS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Apr 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P09000035088 |
| FEI/EIN Number | 264310853 |
| Address: | 4788 253RD STREET EAST, MYAKKA CITY, FL, 34251 |
| Mail Address: | 4788 253RD STREET EAST, MYAKKA CITY, FL, 34251 |
| ZIP code: | 34251 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184925752 | 2010-11-12 | 2010-11-12 | 4788 253RD ST E, MYAKKA CITY, FL, 342518956, US | 4788 253RD ST E, MYAKKA CITY, FL, 342518956, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-920-1533 |
| Fax | 9413629798 |
Authorized person
| Name | MS. LINDA IERENE FLORES |
| Role | VICE PRESIDENT |
| Phone | 9416859684 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 000992300 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 000992301 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER |
| Number | 000992300 |
| State | FL |
| Issuer | MEDICAID SMALL WAIVER |
| Number | 000992301 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BIRD JOHN | Agent | 4788 253RD. STREET EAST, MYAKKA CITY, FL, 34251 |
| Name | Role | Address |
|---|---|---|
| BIRD JOHN | President | 4788 253RD STREET EAST, MYAKKA CITY, FL, 34251 |
| Name | Role | Address |
|---|---|---|
| BIRD JOHN | Treasurer | 4788 253RD STREET EAST, MYAKKA CITY, FL, 34251 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-08-01 |
| ANNUAL REPORT | 2012-06-14 |
| ANNUAL REPORT | 2011-02-25 |
| ANNUAL REPORT | 2010-07-19 |
| Domestic Profit | 2009-04-20 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
