| Entity Name: | VANDOR GERIATRIC HOMECARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 10 Jul 2008 (17 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | N08000006479 |
| FEI/EIN Number | 900413099 |
| Address: | 2110 NORTH 46 AVE, HOLLYWOOD, FL, 33021 |
| Mail Address: | 2110 NORTH 46 AVE, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710302740 | 2014-02-27 | 2014-02-27 | 2110 N 46TH AVE, HOLLYWOOD, FL, 330214161, US | 2110 N 46TH AVE, HOLLYWOOD, FL, 330214161, US | |||||||||||||||||||||||||
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| Phone | +1 954-985-4267 |
| Fax | 9547444973 |
Authorized person
| Name | MRS. DOROTHY ROBERTS |
| Role | ADMINISTRATOR |
| Phone | 9549854267 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12016 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 143038600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Adrian Liburd E | Agent | 433 SW 24 AVE, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ROBERTS DOROTHY | President | 4631 WEST PARK RD, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| ROBERTS IVAN | Vice President | 4631 WEST PARK RD, HOLLYWOOD, FL, 33021 |
| URIZER HUGO | Vice President | 111 ROYAL AVE, FAIRFIELD, CT, 06825 |
| Name | Role | Address |
|---|---|---|
| LIBURD ADRIAN | Member | 433 SW 24 AVENUE, FORT LAUDERDALE, FL, 33312 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000044150 | HARVEST REAPERS OUTREACH SUPPORT MINISTRY | ACTIVE | 2015-05-02 | 2025-12-31 | No data | 2110 NORTH 46 AVENUE, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-05-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-08 | Adrian , Liburd E | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-25 | 433 SW 24 AVE, FORT LAUDERDALE, FL 33312 | No data |
| AMENDMENT | 2010-06-23 | No data | No data |
| AMENDMENT | 2010-05-21 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-05-08 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
