| Entity Name: | 5725 NW 186TH STREET OPERATIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2018 (7 years ago) |
| Last Event: | LC STMNT CORR |
| Event Date Filed: | 17 Aug 2018 (6 years ago) |
| Document Number: | L18000124555 |
| FEI/EIN Number | 83-0772955 |
| Mail Address: | 5901 NW 79TH AVE, TAMARAC, FL, 33321-4639, US |
| Address: | 5725 NW 186TH STREET, HIALEAH, FL, 33015-6019, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316431133 | 2018-06-15 | 2024-09-13 | 5725 NW 186TH ST, HIALEAH, FL, 330156019, US | 5725 NW 186TH ST, HIALEAH, FL, 33015, US | |||||||||||||||||||||||
|
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| Phone | +1 305-625-9857 |
| Fax | 3056213682 |
| Phone | +1 407-571-1550 |
Authorized person
| Name | MIRIAM C. PASTOR |
| Role | MANAGER |
| Phone | 8137696280 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100297400 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| MLNM MASTER TENANT, LLC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| PASTOR MIRIAM | Manager | 5901 NW 79TH AVE, TAMARAC, FL, 333214639 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000075797 | NSPIRE HEALTHCARE MIAMI LAKES | ACTIVE | 2018-07-11 | 2028-12-31 | No data | 5901 NW 79TH AVE, TAMARAC, FL, 33321 |
| G18000073270 | NSPIRE HEALTHCARE HIALEAH | EXPIRED | 2018-07-02 | 2023-12-31 | No data | 5102 W. LAUREL ST., STE. 700, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 5725 NW 186TH STREET, HIALEAH, FL 33015-6019 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-20 | 5725 NW 186TH STREET, HIALEAH, FL 33015-6019 | No data |
| LC STMNT CORR | 2018-08-17 | No data | STMNT CORR CORRECTING EFFECTIVE DAT E OF ART OF ORG. |
| LC AMENDMENT | 2018-06-28 | No data | No data |
| LC AMENDMENT | 2018-05-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-24 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-24 | 1201 HAYS STREET, Tallahassee, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-02-15 |
| CORLCSTCOR | 2018-08-17 |
| LC Amendment | 2018-06-28 |
| LC Amendment | 2018-05-24 |
| Florida Limited Liability | 2018-05-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
