| Entity Name: | GOOD SAMARITAN COMMUNITY HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 27 May 2004 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 27 Jul 2007 (18 years ago) |
| Document Number: | N04000005372 |
| FEI/EIN Number | 201192339 |
| Address: | 7701 SW 98TH ST., MIAMI, FL, 33156 |
| Mail Address: | 7110 SW 109TH TERR., MIAMI, FL, 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104006824 | 2007-11-09 | 2022-07-21 | 7110 SW 109TH TER, MIAMI, FL, 331563968, US | 7701 SW 98TH ST, MIAMI, FL, 331562634, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-661-0171 |
| Fax | 3054686349 |
| Phone | +1 305-316-7444 |
Authorized person
| Name | DR. JOSE ROBERTO NERY |
| Role | PRESIDENT |
| Phone | 3053167444 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NERY JOSE R | Agent | 7110 SW 109TH TERRACE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| NERY JOSE R | President | 7110 SW 109TH TERRACE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| MOSTAFA JONAS | Vice President | 8585 SW 80TH PLACE, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| LOZADA DIEGO SEQUERA | Exec | 6841 SW 78 TH TER, SOUTH MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| NERY DEBORA | Treasurer | 7110 SW 109TH TERRACE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| SIMOES CARLOS A | COUN | 4181 SW 188 AV, MIRAMAR, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| Young Steven R | Coun | 10729 SW 104 Street, Miami, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-08-10 | 7701 SW 98TH ST., MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2007-08-10 | 7701 SW 98TH ST., MIAMI, FL 33156 | No data |
| NAME CHANGE AMENDMENT | 2007-07-27 | GOOD SAMARITAN COMMUNITY HEALTH, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
