| Entity Name: | ALLIANCE HEALTH CARE MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Nov 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P14000093114 |
| FEI/EIN Number | 47-2327589 |
| Address: | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| Mail Address: | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700277324 | 2015-02-18 | 2015-02-27 | 7241 SW 63RD AVE, SUITE 101A, SOUTH MIAMI, FL, 331434838, US | 7241 SW 63RD AVE, SUITE 101A, SOUTH MIAMI, FL, 331434838, US | |||||||||||||||||||||||||||
|
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| Phone | +1 786-577-0916 |
| Fax | 7865770936 |
Authorized person
| Name | MS. ANA I BENITEZ |
| Role | PRESIDENT/CEO |
| Phone | 7865770916 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BESTMAN EVALINA WPH.D | Agent | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| PALLIVATHUCAL Thresiamma J | President | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| PALLIVATHUCAL Thresiamma J | Director | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| BESTMAN EVALINA WPH.D | Director | P.O BOX 521029, MIAMI, FL, 33152 |
| KURIAKOSE ULLAS P | Director | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| RODRIGUEZ GERARDO | Director | 5925 SW 87 Avenue, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| BESTMAN EVALINA WPH.D | Vice President | P.O BOX 521029, MIAMI, FL, 33152 |
| Name | Role | Address |
|---|---|---|
| KURIAKOSE ULLAS P | Treasurer | 589 NW 161 AVENUE, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ GERARDO | Secretary | 5925 SW 87 Avenue, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-05 |
| Domestic Profit | 2014-11-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
