| Entity Name: | DIBAR HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Feb 2020 (5 years ago) |
| Document Number: | L20000047261 |
| FEI/EIN Number | 85-1065346 |
| Address: | 10610 SW 199 ST, CUTLER BAY, FL 33157 |
| Mail Address: | 10610 SW 199 ST, CUTLER BAY, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063090876 | 2021-04-01 | 2021-04-08 | 10610 SW 199TH ST BAY 199TH, CUTLER BAY, FL, 331578515, US | 10610 SW 199TH ST, CUTLER BAY, FL, 331578515, US | |||||||||||||||||||||
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| Phone | +1 786-818-8691 |
| Fax | 3053309080 |
Authorized person
| Name | MORAIMA DIAZ |
| Role | OWNER |
| Phone | 7868188691 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020999000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARACALDO, NURIS | Agent | 15907 SW 68TH LN, Miami, FL 33193 |
| Name | Role | Address |
|---|---|---|
| BARACALDO, NURIS | Manager | 15907 SW 68TH LN, Miami, FL 33193 |
| DIAZ, MORAIMA | Manager | 15305 SW 170TH TERR, MIAMI, FL 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-14 | 10610 SW 199 ST, CUTLER BAY, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-14 | 10610 SW 199 ST, CUTLER BAY, FL 33157 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-14 | 15907 SW 68TH LN, Miami, FL 33193 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-14 |
| Florida Limited Liability | 2020-02-10 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
