| Entity Name: | FAVY HCS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P09000079979 |
| FEI/EIN Number | 27-1021341 |
| Address: | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 |
| Mail Address: | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700219730 | 2013-08-13 | 2023-10-30 | 12360 SW 132ND CT STE 205, MIAMI, FL, 331866461, US | 12360 SW 132ND CT STE 205, MIAMI, FL, 331866461, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-429-3738 |
| Fax | 3053972416 |
Authorized person
| Name | MRS. LETICIA ALONSO |
| Role | PRESIDENT |
| Phone | 7864439221 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003015700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 005564800 |
| State | FL |
| Issuer | MEDICAID WAIVER |
| Number | 003015700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017450000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALONSO, LETICIA | Agent | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 |
| Name | Role | Address |
|---|---|---|
| ALONSO, LETICIA | President | 12360 SW 132nd CT, 205 MIAMI, FL 33186-6461 |
| Name | Role | Address |
|---|---|---|
| ALONSO, LETICIA | Director | 12360 SW 132nd CT, 205 MIAMI, FL 33186-6461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-20 | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-20 | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-20 | 12360 SW 132nd CT, 205, MIAMI, FL 33186-6461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-12 |
| AMENDED ANNUAL REPORT | 2017-08-01 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-04-01 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
