| Entity Name: | QUALITY FAMILY CARE HOME CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Oct 2010 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Feb 2013 (12 years ago) |
| Document Number: | L10000110944 |
| FEI/EIN Number | 273757218 |
| Address: | 2300 W Sample Road, Pompano Beach, FL, 33073, US |
| Mail Address: | 7500 S. Dixie Hwy, West Palm Beach, FL, 33405, US |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932583176 | 2015-07-17 | 2015-07-17 | 2300 WEST SAMPLE RD SUITE 210, POMPANO BEACH, FL, 330733048, US | 2300 WEST SAMPLE RD SUITE 210, POMPANO BEACH, FL, 330733048, US | |||||||||||||||||||||||||
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| Phone | +1 754-227-7175 |
| Fax | 7542277177 |
Authorized person
| Name | JESSENIA VELEZ |
| Role | ADMINISTRATOR |
| Phone | 5612429450 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211496 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003786300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VELEZ JUAN F | Agent | 7500 S. Dixie Hwy, West Palm Beach, FL, 33405 |
| Name | Role | Address |
|---|---|---|
| VELEZ JUAN F | Manager | 7500 S. Dixie Hwy, West Palm Beach, FL, 33405 |
| VELEZ JESSENIA | Manager | 7500 S. Dixie Hwy, Wets Palm Beach, FL, 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-20 | 2300 W Sample Road, Suite 215, Pompano Beach, FL 33073 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-16 | 2300 W Sample Road, Suite 215, Pompano Beach, FL 33073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-16 | 7500 S. Dixie Hwy, West Palm Beach, FL 33405 | No data |
| LC AMENDMENT | 2013-02-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-12 |
| AMENDED ANNUAL REPORT | 2022-10-20 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
