| Entity Name: | START PROFESSIONAL CARE & SUPPORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2018 (7 years ago) |
| Document Number: | L18000044878 |
| FEI/EIN Number | 824676978 |
| Address: | 11117 W OKEECHOBEE RD, HIALLEAH GARDENS, FL, 33018, US |
| Mail Address: | 11117 W OKEECHOBEE RD, HIALLEAH GARDENS, FL, 33018, US |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962172395 | 2021-09-16 | 2023-08-23 | 3300 E 5TH AVE, HIALEAH, FL, 330133037, US | 11117 W OKEECHOBEE RD STE 130, HIALEAH GARDENS, FL, 330184210, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 786-442-6465 |
| Fax | 3056752397 |
Authorized person
| Name | MS. MADELIN MARICHAL |
| Role | OWNER |
| Phone | 7864426465 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103102100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARICHAL MADELIN | Agent | 3300 E 5TH AVENUE, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| MADELIN MARICHAL | Manager | 11117 W OKEECHOBEE RD, HIALEAH GARDENS, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-30 | 11117 W OKEECHOBEE RD, #130, HIALLEAH GARDENS, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-30 | 11117 W OKEECHOBEE RD, #130, HIALLEAH GARDENS, FL 33018 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-06 |
| Florida Limited Liability | 2018-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
