Entity Name: | BEHAVIORAL HEALTHCARE OPTIONS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 24 Jul 1991 (34 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 27 Sep 2017 (7 years ago) |
Document Number: | S68311 |
FEI/EIN Number | 59-3075470 |
Address: | 100 Main Street, Suite 203, Safety Harbor, FL 34695 |
Mail Address: | 100 Main Street, Suite 203, Safety Harbor, FL 34695 |
ZIP code: | 34695 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215060504 | 2007-03-14 | 2020-03-26 | 100 MAIN ST STE 203, SAFETY HARBOR, FL, 346953668, US | 100 MAIN ST STE 203, SAFETY HARBOR, FL, 346953668, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 727-799-4150 |
Fax | 7277961845 |
Authorized person
Name | MR. JAMES RICHARD RIDENOUR |
Role | CEO |
Phone | 7277994150 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
License Number | ME 45757 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
License Number | ME 45757 |
State | FL |
Is Primary | No |
Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
License Number | ME 45757 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 105746900 |
State | FL |
Issuer | BLUE CROSS BLUE SHIELD |
Number | 62558 |
Name | Role | Address |
---|---|---|
BUTLER, F. KEVIN, M.D. | Agent | 100 Main Street, Suite 203, Safety Harbor, FL 34695 |
Name | Role | Address |
---|---|---|
BUTLER, F. KEVIN, M.D. | President | 100 Main Street, Suite 203 Safety Harbor, FL 34695 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2017-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-09-27 | BUTLER, F. KEVIN, M.D. | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-04-03 | 100 Main Street, Suite 203, Safety Harbor, FL 34695 | No data |
CHANGE OF MAILING ADDRESS | 2013-04-03 | 100 Main Street, Suite 203, Safety Harbor, FL 34695 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-04-03 | 100 Main Street, Suite 203, Safety Harbor, FL 34695 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-07 |
ANNUAL REPORT | 2023-01-10 |
ANNUAL REPORT | 2022-01-26 |
ANNUAL REPORT | 2021-01-14 |
ANNUAL REPORT | 2020-05-19 |
ANNUAL REPORT | 2019-06-13 |
ANNUAL REPORT | 2018-03-12 |
REINSTATEMENT | 2017-09-27 |
ANNUAL REPORT | 2016-04-20 |
ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State