| Entity Name: | RAINBOW BEHAVIORAL SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Feb 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 May 2016 (9 years ago) |
| Document Number: | P16000015548 |
| FEI/EIN Number | 81-1723882 |
| Mail Address: | 6303 Blue Lagoon Dr, Suite 400, Miami, FL 33126 |
| Address: | 6303 Blue Lagoon Dr, Suite 488, Miami, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174045611 | 2017-07-15 | 2021-07-19 | PO BOX 650874, MIAMI, FL, 332650874, US | 6303 BLUE LAGOON DR STE 400, MIAMI, FL, 331266040, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-244-5299 |
| Phone | +1 305-910-4081 |
| Fax | 7865347411 |
Authorized person
| Name | MR. LAZARO NOEL SUAREZ |
| Role | CEO |
| Phone | 3052445299 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021004300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017890900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUAREZ, LAZARO N | Agent | 945 NW 132ND AVE W, MIAMI, FL 33182 |
| Name | Role | Address |
|---|---|---|
| SUAREZ, LAZARO N | President | 6303 Blue Lagoon Dr, Suite 488 MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-05 | 6303 Blue Lagoon Dr, Suite 488, Miami, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-24 | 6303 Blue Lagoon Dr, Suite 488, Miami, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-22 | 945 NW 132ND AVE W, MIAMI, FL 33182 | No data |
| AMENDMENT | 2016-05-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-08 |
| AMENDED ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2020-02-24 |
| AMENDED ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-04-19 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
