| Entity Name: | VIDA HOME HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 May 2024 (9 months ago) |
| Document Number: | L21000038256 |
| FEI/EIN Number | 86-1990406 |
| Address: | 6001 NW 153 ST, SUITE 140, MIAMI LAKES, FL 33014 |
| Mail Address: | 6001 NW 153 ST, SUITE 140, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770160681 | 2021-03-26 | 2021-09-03 | 6001 NW 153RD ST, STE 140, MIAMI LAKES, FL, 330142475, US | 6001 NW 153RD ST STE 140, MIAMI LAKES, FL, 330142475, US | |||||||||||||||||||
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| Phone | +1 786-541-6164 |
Authorized person
| Name | BARBARA PENA RODRIGUEZ |
| Role | ADMINISTRATOR, DON |
| Phone | 7865425164 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 299995350 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PENA RODRIGUEZ, BARBARA | Agent | 18920 W OAKMONT DR, HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| PENA RODRIGUEZ, BARBARA | Manager | 18920 W OAKMONT DR, HIALEAH, FL 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-05-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-22 | PENA RODRIGUEZ, BARBARA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-22 | 18920 W OAKMONT DR, HIALEAH, FL 33015 | No data |
| LC AMENDMENT | 2021-06-22 | No data | No data |
| LC AMENDMENT | 2021-04-12 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-05-22 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-02-07 |
| LC Amendment | 2021-06-22 |
| LC Amendment | 2021-04-12 |
| Florida Limited Liability | 2021-01-19 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
