| Entity Name: | BRIDGE FOR THE LIFE HEALTH SERVICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Jun 2022 (3 years ago) |
| Document Number: | L21000227809 |
| FEI/EIN Number | 86-3940283 |
| Address: | 5040 NW 7TH ST STE 660, MIAMI, FL, 33126-3485, US |
| Mail Address: | 5040 NW 7TH ST STE 660, MIAMI, FL, 33126-3485, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497420491 | 2021-08-11 | 2024-05-08 | 5040 NW 7TH ST STE 660, MIAMI, FL, 331263485, US | 5040 NW 7TH ST STE 660, MIAMI, FL, 331263485, US | |||||||||||||||||||||
|
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| Phone | +1 305-900-2361 |
| Fax | 3059002371 |
Authorized person
| Name | CELIA GUERRA SUAREZ |
| Role | OWNER |
| Phone | 7862414961 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111423200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANCHEZ ESCALONA BORIS L | Agent | 5040 NW 7TH ST STE 660, MIAMI, FL, 331263485 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ ESCALONA BORIS L | Member | 5040 NW 7TH ST STE 660, MIAMI, FL, 331263485 |
| GUERRA SUAREZ CELIA | Member | 5040 NW 7TH ST STE 660, MIAMI, FL, 331263485 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000071351 | YMM CARE | ACTIVE | 2023-06-12 | 2028-12-31 | No data | 5040 NW 7TH ST SUITE 660, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-29 | 5040 NW 7TH ST STE 660, MIAMI, FL 33126-3485 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-29 | 5040 NW 7TH ST STE 660, MIAMI, FL 33126-3485 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-29 | 5040 NW 7TH ST STE 660, MIAMI, FL 33126-3485 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | SANCHEZ ESCALONA, BORIS L | No data |
| LC AMENDMENT | 2022-06-30 | No data | No data |
| LC AMENDMENT | 2022-02-16 | No data | No data |
| LC AMENDMENT | 2021-08-11 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-29 |
| AMENDED ANNUAL REPORT | 2024-04-06 |
| AMENDED ANNUAL REPORT | 2024-04-05 |
| AMENDED ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2024-02-29 |
| AMENDED ANNUAL REPORT | 2023-06-23 |
| AMENDED ANNUAL REPORT | 2023-06-12 |
| ANNUAL REPORT | 2023-03-22 |
| LC Amendment | 2022-06-30 |
| ANNUAL REPORT | 2022-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
