| Entity Name: | MGM CASE MANAGEMENT SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Mar 2011 (14 years ago) |
| Document Number: | P11000024270 |
| FEI/EIN Number | 27-5557729 |
| Address: | 8040 NW 155 Street, Miami Lakes, FL 33016 |
| Mail Address: | 8040 NW 155 Street, Miami Lakes, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922391721 | 2011-05-26 | 2020-10-16 | 14411 COMMERCE WAY, 320, MIAMI LAKES, FL, 330161596, US | 8040 NW 155TH ST # 320, MIAMI LAKES, FL, 330165880, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-597-3928 |
| Phone | +1 305-827-2822 |
Authorized person
| Name | SAIMARY RIVERO |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3058272822 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BACB |
| Number | 11622729 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MGM CASE MANAGEMENT SERVICES, INC. 401(K) PLAN | 2023 | 275557729 | 2024-10-05 | MGM CASE MANAGEMENT SERVICES, INC. | 5 | |||||||||||||
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| MGM CASE MANAGEMENT SERVICES, INC. 401(K) PLAN | 2022 | 275557729 | 2023-10-03 | MGM CASE MANAGEMENT SERVICES, INC. | 4 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Jeffrey, Douglas J, Esq. | Agent | 6625 Miami Lakes Drive East, 379, MIAMI, FL 33014 |
| Name | Role | Address |
|---|---|---|
| Rivero, Saimary | President | 8040 NW 155 Street, Miami Lakes, FL 33016 |
| Name | Role | Address |
|---|---|---|
| AGUILERA, PAUL JAMES | Vice President | 8040 NW 155 Street, MIAMI, FL 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000035157 | MGM BEHAVIORAL | ACTIVE | 2020-03-24 | 2025-12-31 | No data | 8040 NW 155 STREET, MIAMI LAKES, FL, 33016 |
| G19000070628 | MGM HOMEMAKER & COMPANION SERVICES | EXPIRED | 2019-06-24 | 2024-12-31 | No data | 8040 NW 155 STREET, MIAMI LAKES, FL, 33016 |
| G17000064839 | MGM BEHAVIORAL | ACTIVE | 2017-06-12 | 2027-12-31 | No data | 8040 NW 155TH ST, MIAMI LAKES, FL, 33016 |
| G16000040812 | MGM ACADEMY | ACTIVE | 2016-04-21 | 2026-12-31 | No data | 8040 NW 155TH STREET, MIAMI LAKES, FL, 33016 |
| G11000091545 | MGM BEHAVIORAL | EXPIRED | 2011-09-16 | 2016-12-31 | No data | 5881 NW 151 STREET, SUITE # 209, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-02 | 8040 NW 155 Street, Miami Lakes, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-02 | 8040 NW 155 Street, Miami Lakes, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-09 | Jeffrey, Douglas J, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-09 | 6625 Miami Lakes Drive East, 379, MIAMI, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-06 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
