| Entity Name: | XTREME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2020 (5 years ago) |
| Document Number: | L20000034487 |
| FEI/EIN Number | 84-4731842 |
| Address: | 18191 NW 68TH AVE, HIALEAH, FL, 33015, US |
| Mail Address: | 18191 NW 68TH AVE, HIALEAH, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356925572 | 2021-05-12 | 2024-07-16 | 18191 NW 68TH AVE STE 215, HIALEAH, FL, 330153998, US | 18191 NW 68TH AVE STE 215, HIALEAH, FL, 330153998, US | |||||||||||||||||||||
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| Phone | +1 305-364-5214 |
| Fax | 7863322359 |
Authorized person
| Name | YUSIMIL DE LA NOVAL |
| Role | OWNER |
| Phone | 7866636714 |
Taxonomy
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 30212212 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DE LA NOVAL YUSIMIL | Agent | 18191 NW 68TH AVE, HIALEAH, FL, 33015 |
| Name | Role | Address |
|---|---|---|
| DE LA NOVAL YUSIMIL | Manager | 18191 NW 68TH AVE, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-15 | 18191 NW 68TH AVE, STE 215, HIALEAH, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-15 | 18191 NW 68TH AVE, STE 215, HIALEAH, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-15 | 18191 NW 68TH AVE, STE 215, HIALEAH, FL 33015 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-15 |
| ANNUAL REPORT | 2024-01-17 |
| AMENDED ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
