| Entity Name: | GENESIS CASE MANAGEMENT SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Apr 2013 (12 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: | P13000037470 |
| FEI/EIN Number | 46-2732727 |
| Address: | 633 NE 167TH STREET, Miami, FL, 33162, US |
| Mail Address: | 633 NE 167TH STREET, Miami, FL, 33162, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366844524 | 2014-09-19 | 2014-09-19 | 8181 NW 36TH ST, SUITE 24, DORAL, FL, 331666671, US | 8181 NW 36TH ST, SUITE 24, DORAL, FL, 331666671, US | |||||||||||||||||||||||
|
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| Phone | +1 305-639-9639 |
| Fax | 3053810735 |
Authorized person
| Name | JORGE BRACERAS |
| Role | CEO |
| Phone | 3056399639 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012187400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROUSE ANTIONE T | Agent | 633 NE 167TH STREET, Miami, FL, 33162 |
| Name | Role | Address |
|---|---|---|
| ROUSE ANTIONE T | Director | 11025 SW 84 STREET, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| ROUSE ANTIONE T | President | 11025 SW 84 STREET, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| ROUSE ANTIONE T | Secretary | 11025 SW 84 STREET, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-10 | 633 NE 167TH STREET, SUITE 514, Miami, FL 33162 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-10 | 633 NE 167TH STREET, SUITE 514, Miami, FL 33162 | No data |
| AMENDMENT | 2017-08-10 | No data | No data |
| AMENDMENT | 2016-11-01 | No data | No data |
| AMENDMENT | 2016-08-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-01 | ROUSE, ANTIONE T | No data |
| AMENDMENT | 2016-03-14 | No data | No data |
| AMENDMENT | 2013-12-06 | No data | No data |
| AMENDMENT | 2013-05-08 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000518157 | TERMINATED | 1000000834506 | DADE | 2019-07-24 | 2029-07-31 | $ 744.91 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J19000518140 | TERMINATED | 1000000834505 | DADE | 2019-07-24 | 2039-07-31 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| Amendment | 2017-08-10 |
| Amendment | 2016-11-01 |
| Amendment | 2016-08-19 |
| ANNUAL REPORT | 2016-05-01 |
| Amendment | 2016-03-14 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-06-17 |
| Amendment | 2013-12-06 |
| Amendment | 2013-05-08 |
| Domestic Profit | 2013-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
