| Entity Name: | MERCY BEHAVIORAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jan 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P11000005103 |
| FEI/EIN Number | 274634191 |
| Address: | 705 EAST LE JEUNE RD., HIALEAH, FL, 33010, US |
| Mail Address: | 705 EAST LE JEUNE RD., HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912344268 | 2013-05-28 | 2017-06-21 | 705 EAST 8TH AVE SUITE 101 AND 102, HIALEAH, FL, 33010, US | 705 E 8TH AVE, SUITE 101 AND 102, HIALEAH, FL, 330104613, US | |||||||||||||||||||||||||
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| Phone | +1 305-883-5188 |
| Fax | 3058835188 |
Authorized person
| Name | MRS. FLORA PAZOS |
| Role | CEO |
| Phone | 3058835188 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 007376700 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007376700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAZOS FLORA | Agent | 705 EAST LE JEUNE RD., HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| PAZOS FLORA | President | 705 EAST LE JEUNE RD., HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ RAFAEL | Director | 705 EAST LE JEUNE RD., HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-19 | 705 EAST LE JEUNE RD., HIALEAH, FL 33010 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-19 | 705 EAST LE JEUNE RD., HIALEAH, FL 33010 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-19 | 705 EAST LE JEUNE RD., HIALEAH, FL 33010 | No data |
| AMENDMENT | 2014-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-08 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-01-05 |
| ANNUAL REPORT | 2019-01-03 |
| Off/Dir Resignation | 2018-06-08 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-07 |
| Amendment | 2014-09-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
