| Entity Name: | GOLDEN SMILE ADULT DAY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jan 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Oct 2019 (5 years ago) |
| Document Number: | L14000017013 |
| FEI/EIN Number | 46-4743077 |
| Address: | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 |
| Mail Address: | 1720 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760870703 | 2014-12-29 | 2022-06-12 | 1726 EAST HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 33009, US | 1726 EAST HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 33009, US | |||||||||||||||||||||||||
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| Phone | +1 754-703-5684 |
| Fax | 7547035687 |
Authorized person
| Name | MRS. IRINA MERCIER |
| Role | OWNER |
| Phone | 7547035684 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9301 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019926000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MERCIER, IRINA | Agent | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| MERCIER, IRINA | Manager | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2019-10-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-24 | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-24 | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-24 | 1720 E HALLANDALE BEACH BLVD., HALLANDALE BEACH, FL 33009 | No data |
| LC NAME CHANGE | 2014-02-05 | GOLDEN SMILE ADULT DAY CARE LLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000433720 | ACTIVE | 1000001002160 | BROWARD | 2024-07-05 | 2034-07-10 | $ 548.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J21000391387 | TERMINATED | 1000000896839 | BROWARD | 2021-07-29 | 2031-08-04 | $ 449.93 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-07-29 |
| ANNUAL REPORT | 2020-04-15 |
| LC Amendment | 2019-10-24 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-04-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5324667406 | 2020-05-12 | 0455 | PPP | 1726 E Hallandale Beach Blvd, Hallandale Beach, FL, 33009-4611 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
