| Entity Name: | PROFESSIONAL ADVANCED ADULT DAY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROFESSIONAL ADVANCED ADULT DAY CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Sep 2012 (12 years ago) |
| Document Number: | L12000119277 |
| FEI/EIN Number |
46-1007897
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2668 SW 137th AVE, MIAMI, FL, 33175, US |
| Mail Address: | 2668 SW 137th AVE, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366784589 | 2013-03-26 | 2015-07-15 | 2668 SW 137TH AVE, MIAMI, FL, 331756314, US | 2668 SW 137TH AVE, MIAMI, FL, 331756314, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-456-9905 |
| Fax | 3058469839 |
Authorized person
| Name | MR. ERNESTO DOMINGUEZ |
| Role | PRESIDENT |
| Phone | 3054569905 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9206 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012196500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 009571200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dominguez Vila Ernesto | Managing Member | 2668 SW 137th AVE, MIAMI, FL, 33175 |
| Dominguez Vila Ernesto Sr. | Agent | 2668 SW 137th AVE, MIAMI, FL, 33175 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000122304 | THE SENIOR CLUB 1 | ACTIVE | 2015-12-04 | 2025-12-31 | - | 2684 SW 137TH AVE, MIAMI, FL, 33175 |
| G15000120183 | THE SENIOR CLUB NO.1 | EXPIRED | 2015-11-30 | 2020-12-31 | - | 2684 SW 137 AVE, MIAMI, FL, 33175 |
| G12000091585 | THE SENIOR CLUB | EXPIRED | 2012-09-18 | 2017-12-31 | - | 14285 SW 42ND ST, SUITES 205 TO 209, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-15 | 2668 SW 137th AVE, MIAMI, FL 33175 | - |
| CHANGE OF MAILING ADDRESS | 2019-04-15 | 2668 SW 137th AVE, MIAMI, FL 33175 | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-15 | Dominguez Vila, Ernesto, Sr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-15 | 2668 SW 137th AVE, MIAMI, FL 33175 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-06-10 |
| AMENDED ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5722087306 | 2020-04-30 | 0455 | PPP | 2668 SW 137 AVENUE, MIAMI, FL, 33175 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8058318304 | 2021-01-29 | 0455 | PPS | 2668 SW 137th Ave, Miami, FL, 33175-6314 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
