| Entity Name: | NOVELLAS'S HEALTH CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NOVELLAS'S HEALTH CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Apr 2020 (5 years ago) |
| Document Number: | L20000109921 |
| FEI/EIN Number |
852118366
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 501 NW 76TH TER, PEMBROKE PINES, FL, 33024, US |
| Address: | 17855 NW 78th 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295468684 | 2022-07-05 | 2022-09-21 | 17855 NW 78TH AVE, HIALEAH, FL, 330152805, US | 17855 NW 78TH AVE, HIALEAH, FL, 330152805, US | |||||||||||||||||||||
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| Phone | +1 305-530-8979 |
| Fax | 3055308979 |
Authorized person
| Name | DR. JORGE NOVELLAS ZAYAS |
| Role | OWNER |
| Phone | 7867173164 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1053920173 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOVELLAS JORGE DR. | Manager | 501 NW 76TH TER, PEMBROKE PINES, FL, 33024 |
| Martinez Yurielis | Auth | 501 NW 76TH TER, PEMBROKE PINES, FL, 33024 |
| NOVELLAS JORGE DR. | Agent | 501 NW 76TH TER, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-04 | 17855 NW 78th AVE, HIALEAH, FL 33015 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 501 NW 76TH TER, PEMBROKE PINES, FL 33024 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-28 | 17855 NW 78th AVE, HIALEAH, FL 33015 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-01-19 |
| Florida Limited Liability | 2020-04-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
