| Entity Name: | BARBS PLACE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 07 Jan 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Nov 2020 (4 years ago) |
| Document Number: | N19000000340 |
| FEI/EIN Number | 83-3269871 |
| Address: | 6110 sw 24th pl, davie, FL, 33314, US |
| Mail Address: | 6110 sw 24th pl, davie, FL, 33314, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235790676 | 2019-06-26 | 2021-10-08 | 2745 NW 131ST ST, OPA LOCKA, FL, 330545004, US | 2745 NW 131ST ST, OPA LOCKA, FL, 330545004, US | |||||||||||||||||||||||||
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| Phone | +1 305-684-2909 |
| Fax | 3059744359 |
Authorized person
| Name | SHAROCKA LARRY |
| Role | OWNER |
| Phone | 3056842909 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103395000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Waters SHAROCKA | Agent | 6110 sw 24th pl, davie, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| Waters SHAROCKA | President | 6110 sw 24th pl, davie, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| waters denikko | mana | 6110 sw 24th pl, davie, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-15 | 6110 sw 24th pl, apt108, davie, FL 33314 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 6110 sw 24th pl, apt108, davie, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-15 | 6110 sw 24th pl, apt108, davie, FL 33314 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-15 | Waters, SHAROCKA | No data |
| REINSTATEMENT | 2020-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-12 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-02 |
| AMENDED ANNUAL REPORT | 2022-08-30 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-03-15 |
| AMENDED ANNUAL REPORT | 2020-11-27 |
| REINSTATEMENT | 2020-11-24 |
| REINSTATEMENT | 2019-10-03 |
| Domestic Non-Profit | 2019-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
