| Entity Name: | ELITE CASE MANAGEMENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Jan 2025 (a month ago) |
| Document Number: | L21000041445 |
| FEI/EIN Number | 86-1967415 |
| Address: | 14411 COMMERCE WAY, Miami LAKES, FL, 33016, US |
| Mail Address: | 14411 COMMERCE WAY, Miami LAKES, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083297840 | 2021-04-29 | 2021-05-10 | 4006 NW 167TH ST, MIAMI GARDENS, FL, 330546289, US | 4006 NW 167TH ST, MIAMI GARDENS, FL, 330546289, US | |||||||||||||||||||
|
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| Phone | +1 786-474-1134 |
Authorized person
| Name | ARIAN MORALES CARRILLO |
| Role | OWNER/PRESIDENT |
| Phone | 7864741134 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109668900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAYAMI DOVALES CASTILLO | Agent | 14411 COMMERCE WAY, Miami LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| ARIAN MORALES CARRILLO | Manager | 14411 COMMERCE WAY, MIAMI LAKES, FL, 33016 |
| VICTOR BARBOSA PEREZ | Manager | 14411 COMMERCE WAY, MIAMI LAKES, FL, 33016 |
| DAYAMI DOVALES CASTILLO | Manager | 14411 COMMERCE WAY, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2025-01-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-02 | 14411 COMMERCE WAY, SUITE 420, Miami LAKES, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-02 | 14411 COMMERCE WAY, SUITE 420, Miami LAKES, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-07 | 3925 SW 82 Ave, Miami, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-07 | 3925 SW 82 Ave, Miami, FL 33155 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2025-01-02 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
