| Entity Name: | CHILDRENS REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Feb 2021 (4 years ago) |
| Document Number: | L21000056989 |
| FEI/EIN Number | 86-2217138 |
| Address: | 2727 NW 167 ST, MIAMI GARDENS, FL 33056 |
| Mail Address: | 2727 NW 167 ST, MIAMI GARDENS, FL 33056 |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801549225 | 2022-01-27 | 2022-01-27 | 2727 NW 167TH ST, MIAMI GARDENS, FL, 330564406, US | 2727 NW 167TH ST, MIAMI GARDENS, FL, 330564406, US | |||||||||||||||||||||||
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| Phone | +1 786-499-5497 |
Authorized person
| Name | MISS YOLEIDIS GONZALEZ |
| Role | ADMINISTRATOR |
| Phone | 7864995497 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM3000X - Medically Fragile Infants and Children Day Care |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112276600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, YOLEIDIS | Agent | 2727 NW 167 ST, MIAMI GARDENS, FL 33056 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, YOLEIDIS | Manager | 2727 NW 167 ST, MIAMI GARDENS, FL 33056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | GONZALEZ, YOLEIDIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-02-01 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
