| Entity Name: | A & E ANGELS HOME CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2019 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | L19000117764 |
| FEI/EIN Number | 842761965 |
| Address: | 13301 SW 132AVE, MIAMI, FL, 33186, US |
| Mail Address: | 13301 SW 132 AVE., MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174172035 | 2019-09-04 | 2023-03-17 | 13301 SW 132ND AVE UNIT 213, MIAMI, FL, 331866191, US | 13301 SW 132ND AVE UNIT 213, MIAMI, FL, 331866191, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-964-5736 |
| Fax | 3059645929 |
Authorized person
| Name | ARLENIS M BOMPART |
| Role | OWNER |
| Phone | 3059796706 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104101800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 104842400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 236518 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOMPART ARLENIS M | Agent | 13301 SW 132 AVE, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| BOMPART ARLENIS M | Authorized Member | 13301 SW 132 AVE, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-18 | BOMPART, ARLENIS M | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-01 | 13301 SW 132AVE, SUITE 213, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-04 | 13301 SW 132 AVE, SUITE 213, MIAMI, FL 33186 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 13301 SW 132AVE, SUITE 213, MIAMI, FL 33186 | No data |
| LC NAME CHANGE | 2019-05-23 | A & E ANGELS HOME CARE SERVICES, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-26 |
| AMENDED ANNUAL REPORT | 2024-03-18 |
| AMENDED ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-06-22 |
| LC Name Change | 2019-05-23 |
| Florida Limited Liability | 2019-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
