| Entity Name: | FAMILY PAIN & HEALTH CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jan 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jun 2021 (4 years ago) |
| Document Number: | L16000014206 |
| FEI/EIN Number | 81-1159581 |
| Address: | 381 N KROME AVENUE, SUITE 209, HOMESTEAD, FL 33030 |
| Mail Address: | 381 N KROME AVENUE, SUITE 209, HOMESTEAD, FL 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447610712 | 2016-03-01 | 2022-11-11 | 381 N KROME AVE STE 209, HOMESTEAD, FL, 330306047, US | 381 N KROME AVE STE 209, HOMESTEAD, FL, 330306047, US | |||||||||||||||||||||||||
|
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| Phone | +1 786-404-3999 |
Authorized person
| Name | MR. SALVADOR VILLEGAS |
| Role | OWNER |
| Phone | 7864043999 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | TBA |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Villegas, Salvador | Agent | 8701 SW 141 ST, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| VILLEGAS, SALVADOR | Manager | 8701 SW 141 ST, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| VILLEGAS, SALVADOR | Authorized Member | 8701 SW 141 ST, MIAMI, FL 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000136630 | FAMILY PAIN & HEALTH RESEARCH CENTER | ACTIVE | 2022-11-02 | 2027-12-31 | No data | 381 N KROME AVENUE, SUITE 209, HOMESTEAD, FL, 33030 |
| G20000057971 | FAMILY BEHAVIOR & THERAPY SERVICES | ACTIVE | 2020-05-26 | 2025-12-31 | No data | 6222 JOHNSON ST, HOLLYWOOD, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-20 | Villegas, Salvador | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-24 | 381 N KROME AVENUE, SUITE 209, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-24 | 381 N KROME AVENUE, SUITE 209, HOMESTEAD, FL 33030 | No data |
| LC AMENDMENT | 2021-06-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-20 |
| LC Amendment | 2021-06-10 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-01-20 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
