| Entity Name: | BRIDGE OF CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Mar 2017 (8 years ago) |
| Document Number: | L17000008671 |
| FEI/EIN Number | 81-4974108 |
| Address: | 11401 SW 40th St, STE 345, Miami, FL 33165 |
| Mail Address: | 11401 SW 40th St, STE 345, Miami, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770257412 | 2021-08-05 | 2021-08-05 | 11401 SW 40TH ST STE 345, MIAMI, FL, 331653372, US | 2311 10TH AVE N STE 3, LAKE WORTH, FL, 334616605, US | |||||||||||||||||||||||||
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| Phone | +1 305-603-7063 |
| Fax | 3056038705 |
| Phone | +1 561-899-3017 |
| Fax | 5614292622 |
Authorized person
| Name | YARITZA AGUIAR RODRIGUEZ |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3056037063 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105068600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AGUIAR RODRIGUEZ, YARITZA | Agent | 11401 SW 40th St, STE 345, Miami, FL 33165 |
| Name | Role | Address |
|---|---|---|
| AGUIAR RODRIGUEZ, YARITZA | Manager | 11401 SW 40th St, STE 345 Miami, FL 33165 |
| PEREZ HERNANDEZ, ALAIN | Manager | 11401 SW 40th St, STE 345 Miami, FL 33165 |
| TOLEDO, DIELIS | Manager | 11401 SW 40th St, STE 345 Miami, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-03 | 11401 SW 40th St, STE 345, Miami, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2019-09-03 | 11401 SW 40th St, STE 345, Miami, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-03 | 11401 SW 40th St, STE 345, Miami, FL 33165 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-29 | AGUIAR RODRIGUEZ, YARITZA | No data |
| LC AMENDMENT | 2017-03-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-04-03 |
| AMENDED ANNUAL REPORT | 2022-11-01 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-17 |
| AMENDED ANNUAL REPORT | 2019-09-03 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-02-12 |
| LC Amendment | 2017-03-07 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
