| Entity Name: | PRIMOS CAREGIVERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L20000032021 |
| FEI/EIN Number | 844566976 |
| Address: | 15908 SW 92 AVE, MIAMI, FL, 33157, US |
| Mail Address: | 20201 SW 91 AVE, CUTLER BAY, FL, 33189, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700543394 | 2021-11-18 | 2021-11-18 | 20201 SW 91ST AVE, CUTLER BAY, FL, 331891882, US | 15908 SW 92ND AVE, MIAMI, FL, 331571842, US | |||||||||||||||||||||
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| Phone | +1 786-507-9020 |
| Phone | +1 786-353-8614 |
Authorized person
| Name | MR. JOSE SIERRA |
| Role | MBR |
| Phone | 7865079020 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9523 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIERRA VICENTE | Agent | 20201 SW 91 AVE, CUTLER BAY, FL, 33189 |
| Name | Role | Address |
|---|---|---|
| SIERRA VICENTE | Manager | 20201 SW 91 AVE, CUTLER BAY, FL, 33189 |
| SIERRA JOSE J | Manager | 20201 SW 91 AVE, CUTLER BAY, FL, 33189 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-30 | SIERRA, VICENTE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-17 | 15908 SW 92 AVE, MIAMI, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-09 |
| REINSTATEMENT | 2021-09-30 |
| Florida Limited Liability | 2020-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
