| Entity Name: | OLYMPUS HEALTHCARE SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jan 2020 (5 years ago) |
| Document Number: | P20000003287 |
| FEI/EIN Number | 84-4337195 |
| Address: | 8300 W FLAGLER ST, MIAMI, FL, 33144, US |
| Mail Address: | 8300 W FLAGLER ST, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225660103 | 2020-02-07 | 2024-04-01 | 8300 W FLAGLER ST STE 170, MIAMI, FL, 331442098, US | 8300 W FLAGLER ST STE 170, MIAMI, FL, 331442098, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 786-633-5171 |
| Fax | 7865589279 |
Authorized person
| Name | SURI AMADOR-CRUZ |
| Role | OWNER/PRESIDENT |
| Phone | 7864425503 |
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 | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116165900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 105887400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 107837900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 120214100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMADOR CRUZ SURI | Agent | 8300 W FLAGLER ST, STE 258-C, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| AMADOR CRUZ SURI | President | 8300 W FLAGLER ST, SUITE 170, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | 8300 W FLAGLER ST, STE 170, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-02 | 8300 W FLAGLER ST, STE 170, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-14 |
| Domestic Profit | 2020-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
