Entity Name: | HEART AND MIND HEALING CENTER CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 25 Aug 2017 (7 years ago) |
Date of dissolution: | 27 Sep 2024 (5 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (5 months ago) |
Document Number: | P17000071503 |
FEI/EIN Number | 82-4260828 |
Address: | 7800 W. OAKLAND PARK BLVD. STE 304 B, Sunrise, FL, 33351, US |
Mail Address: | 7800 W. OAKLAND PARK BLVD. STE 304 B, Sunrise, FL, 33351, US |
ZIP code: | 33351 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841790920 | 2018-02-15 | 2021-10-15 | 8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL, 333517311, US | 8399 W OAKLAND PARK BLVD STE A, SUNRISE, FL, 333517311, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 772-418-1156 |
Fax | 5614041425 |
Authorized person
Name | MR. AYINDE REID |
Role | PRESIDENT |
Phone | 5614041422 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | No |
Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
Is Primary | Yes |
Other Provider Identifiers
Issuer | COMMUNITY OUTPATIENT REHABILITATION FACILITY |
Number | 104898 |
State | FL |
Issuer | MEDICAID |
Number | 82 |
State | FL |
Name | Role | Address |
---|---|---|
REID AYINDE K | Agent | 7800 W. OAKLAND PARK BLVD. STE 304 B, SUNRISE, FL, 33351 |
Name | Role | Address |
---|---|---|
REID AYINDE K | President | 7800 W. OAKLAND PARK BLVD. STE 304 B, SUNRISE, FL, 33351 |
Name | Role | Address |
---|---|---|
REID AYINDE K | Director | 7800 W. OAKLAND PARK BLVD. STE 304 B, SUNRISE, FL, 33351 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 7800 W. OAKLAND PARK BLVD. STE 304 B, Sunrise, FL 33351 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-28 | 7800 W. OAKLAND PARK BLVD. STE 304 B, Sunrise, FL 33351 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 7800 W. OAKLAND PARK BLVD. STE 304 B, SUNRISE, FL 33351 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-04-28 |
ANNUAL REPORT | 2022-07-15 |
ANNUAL REPORT | 2021-07-27 |
ANNUAL REPORT | 2020-05-04 |
ANNUAL REPORT | 2019-05-01 |
ANNUAL REPORT | 2018-04-02 |
Domestic Profit | 2017-08-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State