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Collaborative Health and Rehabilitation Services, LLC

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Company Details

Name: Collaborative Health and Rehabilitation Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 22 Feb 2019 (6 years ago)
Business ID: 1169850
ZIP code: 39465
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 40 Corinth RoadPetal, MS 39465
Historical names: Collaborative Medical and Rehabilitation Services, Inc

Agent

Name Role Address
Kevin E Floyd Agent 40 Corinth Rd, Petal, MS 39465

Incorporator

Name Role Address
Brandy Morgan Incorporator 4023 Fred Martin Road, Summit, MS 39666

Director

Name Role Address
Kevin E Floyd Director 40 Corinth Road, Petal, MS 39465

Manager

Name Role Address
Kevin E Floyd Manager 40 Corinth Road, Petal, MS 39465

Member

Name Role Address
Kevin E Floyd Member 40 Corinth Road, Petal, MS 39465

President

Name Role Address
Kevin E Floyd President 40 Corinth Road, Petal, MS 39465

National Provider Identifier

NPI Number:
1700348133

Authorized Person:

Name:
MS. BRANDY ANN MORGAN
Role:
PRESIDENT OF CLINICAL OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8888293398

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: Collaborative Health and Rehabilitation Services, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Collaborative Health and Rehabilitation Services, LLC
Annual Report LLC Filed 2022-02-02 Annual Report For Collaborative Health and Rehabilitation Services, LLC
Business Conversion Filed 2021-10-04 Business Conversion For Collaborative Health and Rehabilitation Services, Inc
Amendment Form Filed 2021-10-04 Amendment For Collaborative Health and Rehabilitation Services, Inc
Annual Report Filed 2021-02-21 Annual Report For Collaborative Health and Rehabilitation Services, Inc
Amendment Form Filed 2020-10-01 Amendment For Collaborative Health and Rehabilitation Services, Inc
Annual Report Filed 2020-03-03 Annual Report For Collaborative Health and Rehabilitation Services, Inc
Amendment Form Filed 2019-03-22 Amendment For Collaborative Medical and Rehabilitation Services, Inc
Correction Amendment Form Filed 2019-03-05 Correction For Collaborative Medical and Rehabilitation Services, Inc

USAspending Awards / Financial Assistance

Date:
2021-03-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
32560.00
Total Face Value Of Loan:
32560.00

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Date of last update: 20 May 2025

Sources: Company Profile on Mississippi Secretary of State Website