| Entity Name: | ACTIVE ADULT DAY CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2009 (16 years ago) |
| Document Number: | L09000051115 |
| FEI/EIN Number | 943483843 |
| Mail Address: | 8390 SW 5 ST, MIAMI, FL, 33144, US |
| Address: | 3000 NW 27 AVENUE, MIAMI, FL, 33142, US |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750680658 | 2011-03-18 | 2011-03-18 | 1470 NW 36TH STREET, MIAMI, FL, 33142, US | 1470 NW 36TH STREET, MIAMI, FL, 33142, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-635-9933 |
| Fax | 3056359767 |
Authorized person
| Name | ANA IRIS PILOTO |
| Role | DIRECTOR |
| Phone | 3056359933 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 9123 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002011600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PILOTO JULIO | Agent | 8390 SW 5 STREET, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| PILOTO JULIO | Managing Member | 8390 SW 5 ST, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-04 | 3000 NW 27 AVENUE, MIAMI, FL 33142 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-12 | 3000 NW 27 AVENUE, MIAMI, FL 33142 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
