| Entity Name: | IQ HOMECARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 May 2019 (6 years ago) |
| Document Number: | L19000128495 |
| FEI/EIN Number | 841824203 |
| Address: | 14720 NW 7th ave, Miami, FL, 33168, US |
| Mail Address: | 2350 N. UNIVERSITY DR., PEMBROKE PINES, FL, 33084, US |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447906177 | 2022-02-22 | 2024-10-28 | 14720 NW 7TH AVE, MIAMI, FL, 331683104, US | 14720 NW 7TH AVE, MIAMI, FL, 331683104, US | |||||||||||||||||||||||||
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| Phone | +1 305-748-7684 |
Authorized person
| Name | ANTONIA GIORDANI |
| Role | OWNER |
| Phone | 3057487684 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113768500 |
| State | FL |
| Issuer | CMS- CERTIFICATE OF WAIVER |
| Number | 10D2255540 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIORDANI ANTONIA | Agent | 2350 N. UNIVERSITY DR., PEMBROKE PINES, FL, 33084 |
| Name | Role | Address |
|---|---|---|
| GIORDANI ANTONIA | Manager | 14720 NW 7th ave, Miami, FL, 33168 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000002858 | VITAMIN WELLNESS SHOTS | ACTIVE | 2023-01-06 | 2028-12-31 | No data | 14720 NW 7TH AVE,, MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-29 | 14720 NW 7th ave, Miami, FL 33168 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-29 | 14720 NW 7th ave, Miami, FL 33168 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-29 | 2350 N. UNIVERSITY DR., #841104, PEMBROKE PINES, FL 33084 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-07 |
| Florida Limited Liability | 2019-05-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
