| Entity Name: | DOUGLAS GARDENS HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 01 Nov 2001 (23 years ago) |
| Document Number: | N01000007798 |
| FEI/EIN Number | 651151478 |
| Address: | 5200 NE 2ND AVENUE, MIAMI, FL, 33137, US |
| Mail Address: | 5200 NE 2ND AVENUE, MIAMI, FL, 33137, US |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558818138 | 2016-09-01 | 2024-01-31 | 705 SW 88 AVE, DOUGLAS GARDENS HOME CARE, PEMBROKE PINES, FL, 33025, US | 705 SW 88 AVE, DOUGLAS GARDENS HOME CARE, PEMBROKE PINES, FL, 33025, US | |||||||||||||||||||||||||
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| Phone | +1 954-441-7032 |
| Fax | 3056754687 |
Authorized person
| Name | MRS. MILCA BARR |
| Role | NURSE REGISTRY ADMINISTRATOR |
| Phone | 3057623880 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211838 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114246200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FREIMARK JEFFREY P | Agent | 5200 NE 2ND AVENUE, MIAMI, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| FREIMARK JEFFREY P | Chairman | 5200 NE 2ND AVENUE, MIAMI, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| GOLDSMITH ALAN | President | 5200 NE 2 AVENUE, MIAMI, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| TORRES LESLIE M | Secretary | 5200 NE 2 AVENUE, MIAMI, FL, 33137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000069098 | MIAMI JEWISH HEALTH SYSTEMS COMMUNITY SERVICE DIVISION | ACTIVE | 2013-07-10 | 2028-12-31 | No data | 5200 NE 2 AVENUE, MIAMI, FL, 33137 |
| G12000059172 | DOUGLAS GARDENS HOME HEALTH CARE | ACTIVE | 2012-06-15 | 2027-12-31 | No data | C/O DOUGLAS GARDENS HOME CARE, INC., 5200 N.E. 2ND AVENUE, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-29 | FREIMARK, JEFFREY P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-29 | 5200 NE 2ND AVENUE, MIAMI, FL 33137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-17 | 5200 NE 2ND AVENUE, MIAMI, FL 33137 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-17 | 5200 NE 2ND AVENUE, MIAMI, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
