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5901 NW 79TH AVENUE OPERATIONS, LLC - Florida Company Profile

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Company Details

Entity Name: 5901 NW 79TH AVENUE 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 (7 years ago)
Document Number: L18000124573
FEI/EIN Number 83-0789961
Mail Address: 5901 NW 79TH AVE, TAMARAC, FL, 33321-4639, US
Address: 5901 NW 79TH AVENUE, TAMARAC, FL, 33321, US
ZIP code: 33321
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Authorized Member -
PASTOR MIRIAM Manager 5901 NW 79TH AVE, TAMARAC, FL, 333214639
- Agent -

Unique Entity ID

Unique Entity ID:
JCGXW7YN79R7
CAGE Code:
8KNB7
UEI Expiration Date:
2026-04-21

Business Information

Doing Business As:
5901 NW 79TH AVENUE OPERATIONS LLC
Activation Date:
2025-04-23
Initial Registration Date:
2020-04-22

National Provider Identifier

NPI Number:
1366936197
Certification Date:
2024-09-13

Authorized Person:

Name:
MIRIAM C. PASTOR
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
9547205419

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000073279 NSPIRE HEALTHCARE TAMARAC ACTIVE 2018-07-02 2028-12-31 - 5901 NW 79TH AVE, TAMARAC, FL, 33321

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-04-29 5901 NW 79TH AVENUE, TAMARAC, FL 33321 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-24 5901 NW 79TH AVENUE, TAMARAC, FL 33321 -
LC STMNT CORR 2018-08-17 - STATEMENT OF CORRECTION FILED TO CH ANGE EFFECTIVE DATE FROM 5/17/18 TO 5/24/18
LC AMENDMENT 2018-06-28 - -
LC AMENDMENT 2018-05-24 - -
REGISTERED AGENT NAME CHANGED 2018-05-24 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2018-05-24 1201 HAYS STREET, Tallahassee, FL 32301 -

Documents

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 2019-04-24
CORLCSTCOR 2018-08-17
LC Amendment 2018-06-28
LC Amendment 2018-05-24
Florida Limited Liability 2018-05-17

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Date of last update: 02 Jul 2025

Sources: Florida Department of State