| Entity Name: | ALTERNATIVE BEHAVIORAL CONCEPTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Aug 1997 (28 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Oct 2018 (6 years ago) |
| Document Number: | P97000069031 |
| FEI/EIN Number | 59-3463137 |
| Address: | 202 HOWARD STREET, SUITE 3, AUBURNDALE, FL 33823 |
| Mail Address: | PO BOX 1057, LAKE ALFRED, FL 33850 |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093952921 | 2009-01-14 | 2011-12-02 | PO BOX 1057, LAKE ALFRED, FL, 338501057, US | 202 HOWARD ST, SUITE 3, AUBURNDALE, FL, 338233431, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-551-3300 |
| Fax | 8635513301 |
Authorized person
| Name | MR. KEITH ALLAN JORDAN |
| Role | VP |
| Phone | 8632067000 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 677186696 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 677186696 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDWAIVER |
| Number | 675822396 |
| State | FL |
| Issuer | MEDWAIVER |
| Number | 675822398 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTERNATIVE BEHAVIORAL CONCEPTS, INC | 2023 | 593463137 | 2024-09-06 | ALTERNATIVE BEHAVIORAL CONCEPTS, | 13 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-06 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JORDAN, KEITH A | Agent | 720 S. GLENCRUITEN AVE., PO Box 1071, LAKE ALFRED, FL 33850 |
| Name | Role | Address |
|---|---|---|
| BORDEN-JORDAN, CHERYL A | President | 720 S GLENCRUITEN AVE, PO BOX 1071, LAKE ALFRED, FL 33850 |
| Name | Role | Address |
|---|---|---|
| JORDAN, KEITH A | Vice President | 720 S GLENCRUITEN AVE, P O BOX 1071, LAKE ALFRED, FL 33850 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-10-17 | JORDAN, KEITH A | No data |
| REINSTATEMENT | 2018-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-15 | 720 S. GLENCRUITEN AVE., PO Box 1071, LAKE ALFRED, FL 33850 | No data |
| REINSTATEMENT | 2012-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-07-15 | 202 HOWARD STREET, SUITE 3, AUBURNDALE, FL 33823 | No data |
| CANCEL ADM DISS/REV | 2007-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-11-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-11 |
| REINSTATEMENT | 2018-10-17 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-05-24 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
