Entity Name: | COMPREHENSIVE HOME HEALTH CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 19 Aug 1975 (49 years ago) |
Document Number: | 733613 |
FEI/EIN Number | 510173787 |
Address: | 4960 SW 72nd Avenue, MIAMI, FL, 33155, US |
Mail Address: | 4960 SW 72nd Avenue, MIAMI, FL, 33155, US |
ZIP code: | 33155 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1316037633 | 2006-10-15 | 2020-09-28 | 6900 SW 80TH ST, MIAMI, FL, 331434931, US | 6900 SW 80TH ST, MIAMI, FL, 331434931, US | |||||||||||||||||||||||||||||
|
Phone | +1 305-591-1606 |
Fax | 3055911618 |
Authorized person
Name | MR. JULIO HUMBERTO TAMAYO |
Role | ADMINISTRATOR/COMPLIANCE OFFICER |
Phone | 3055911606 |
Taxonomy
Taxonomy Code | 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician |
Is Primary | No |
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 5013096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 150001500 |
State | FL |
Name | Role | Address |
---|---|---|
Armas Alfredo j | Agent | 2701 S LeJeune Road, Coral Gable, FL, 33134 |
Name | Role | Address |
---|---|---|
Roque-Velasco Javier A | Director | 4960 SW 72nd Avenue, MIAMI, FL, 33155 |
Armas Anthony J | Director | 4960 SW 72nd Avenue, MIAMI, FL, 33155 |
Roque-Velasco Ismael | Director | 4960 SW 42nd Avenue, Miami, FL, 33155 |
Lawrence Jeffrey M | Director | 4960 SW 72nd Avenue, MIAMI, FL, 33155 |
Armas Alfredo J | Director | 4960 SW 72nd Avenue, MIAMI, FL, 33155 |
Name | Role | Address |
---|---|---|
Bustamante Carolina A | Vice President | 4960 SW 72nd Avenue, MIAMI, FL, 33155 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000054419 | OPUS CARE OF SOUTH FLORIDA | ACTIVE | 2016-06-02 | 2026-12-31 | No data | 6900 SW 80TH STREET, MIAMI, FL, 33143 |
G16000040628 | DIGNITY CARE OF SOUTH FLORIDA | EXPIRED | 2016-04-21 | 2021-12-31 | No data | 7270 NW 12 ST PH.6, AIRPORT EXEC TOWER 2, PH6, MIAMI, FL, 33126--193 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2017-06-13 | No data | No data |
AMENDMENT | 2015-07-13 | No data | No data |
AMENDMENT | 2015-05-13 | No data | No data |
AMENDMENT | 2013-06-17 | No data | No data |
AMENDED AND RESTATEDARTICLES | 2002-04-04 | No data | No data |
AMENDMENT | 1994-08-05 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State