| Entity Name: | ROSS FAMILY ADULT DAY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2018 (7 years ago) |
| Document Number: | L18000124770 |
| FEI/EIN Number | 83-0582519 |
| Address: | 805 E 10 AVE, HIALEAH, FL, 33010, US |
| Mail Address: | 805 E 10 AVE, HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588239008 | 2021-05-26 | 2022-10-12 | 805 E 10TH AVE, HIALEAH, FL, 33010, US | 805 E 10TH AVE, HIALEAH, FL, 33010, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-447-3974 |
Authorized person
| Name | MARILIN HERNANDEZ |
| Role | OWNER |
| Phone | 7864473974 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114300100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARILIN | Agent | 310 SW 136 AVE., MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| CALZADO OSCAR | Manager | 805 E 10 AVE, HIALEAH, FL, 33010 |
| HERNANDEZ MARILIN | Manager | 310 SW 136 AVE., MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-05 | HERNANDEZ, MARILIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-05 | 310 SW 136 AVE., MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-03-18 |
| Florida Limited Liability | 2018-05-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
