| Entity Name: | BEAUTIFUL MINDS HEALTH CARE FACILITIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jul 2022 (3 years ago) |
| Document Number: | L22000309019 |
| FEI/EIN Number | 88-3182429 |
| Address: | 10912 SW 184TH ST, CUTLER BAY, FL 33157 |
| Mail Address: | 10912 SW 184TH ST, CUTLER BAY, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558095166 | 2022-07-11 | 2022-08-08 | 23846 SW 116TH CT, HOMESTEAD, FL, 330327188, US | 10912 SW 184TH ST, CUTLER BAY, FL, 331576608, US | |||||||||||||||||||||||||||
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| Phone | +1 305-647-9499 |
Authorized person
| Name | GABRIELA MARINELLO |
| Role | SITE DIRECTOR |
| Phone | 3056479499 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024551600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARINELLO, GABRIELA | Agent | 10912 SW 184TH ST, CUTLER BAY, FL 33157 |
| Name | Role | Address |
|---|---|---|
| MARINELLO, GABRIELA | Manager | 10912 SW 184TH ST, CUTLER BAY, FL 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-25 | 10912 SW 184TH ST, CUTLER BAY, FL 33157 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-25 | 10912 SW 184TH ST, CUTLER BAY, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-03-25 |
| Florida Limited Liability | 2022-07-11 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
