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  5. CATHOLIC PALLIATIVE CARE SERVICES, INC.

CATHOLIC PALLIATIVE CARE SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: CATHOLIC PALLIATIVE CARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Jun 2013 (12 years ago)
Document Number: N13000005369
FEI/EIN Number 46-2964889

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 4790 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319, US
Address: 14875 N.W. 77 Avenue,, Miami Lakes, FL, 33014, US
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WORLEY, SSJ ELIZABETH ASR. VCSD ARCHDIOCESE OF MIAMI, MIAMI SHORES, FL, 33138
FRICK MARY JO CEO President CATHOLIC HEALTH SERVICES, INC., LAUDERDALE LAKES, FL, 33319
Lawson Ralph E Chairman 6041 NW 74 Terrace, PARKLAND, FL, 33067
Lawson Ralph E Director 6041 NW 74 Terrace, PARKLAND, FL, 33067
FITZGERALD PATRICK JSR. Assistant Secretary J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134
FITZGERALD J. PATRICK ESQ. Agent J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134

National Provider Identifier

NPI Number:
1861822363
Certification Date:
2022-01-07
Link:
View on NPI website

Authorized Person:

Name:
DIAN BACKOFF
Role:
AUTHORIZED OFFICIAL
Phone:
3053517100

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Phone:
+1 305-351-7057
Fax:
3058240665

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000056828 BLOOM SUPPORTIVE CARE ACTIVE 2025-04-28 2030-12-31 - 14875 NW 77 AVENUE, SUITE 100, MIAMI LAKES, FL, 33014

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-11-02 J. PATRICK FITZGERALD & ASSOCIATES, P.A., 110 MERRICK WAY, SUITE 3-B, CORAL GABLES, FL 33134 -
CHANGE OF PRINCIPAL ADDRESS 2013-11-04 14875 N.W. 77 Avenue,, Suite 100, Miami Lakes, FL 33014 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-04-28
AMENDED ANNUAL REPORT 2021-11-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-28
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-21

Tax Exempt

Employer Identification Number (EIN) :
46-2964889
In Care Of Name:
% JOSEPH M CATANIA
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Religious Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1946-03

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4790 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33319, US

MIRAMAR SENIOR HOUSING PROJECT, INC. CHS ST. ANDREW TOWERS I DEVELOPMENT, LLC CHS MIAMI BEACH MARIAN TOWERS DEVELOPMENT, LLC CHS ST. JOSEPH MANOR II DEVELOPMENT, LLC CHS PALMER HOUSE LLC CHS ST. MARY TOWERS, INC. CATHOLIC HEALTH SERVICES STAFFING, LLC CENTRO MATER CHILD CARE SERVICES, INC.

Date of last update: 03 Jun 2025

Sources: Florida Department of State

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