| Entity Name: | QUALITY CARE THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jan 2000 (25 years ago) |
| Date of dissolution: | 25 Apr 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Apr 2016 (9 years ago) |
| Document Number: | P00000007323 |
| FEI/EIN Number | 650977404 |
| Address: | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027, US |
| Mail Address: | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104810597 | 2005-08-31 | 2011-06-10 | 1395 CANARY ISLAND DR, WESTON, FL, 333272353, US | 1395 CANARY ISLAND DR, WESTON, FL, 333272353, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 954-385-8566 |
| Fax | 9542397777 |
Authorized person
| Name | MR. JORGE CAMACHO |
| Role | MANAGER |
| Phone | 9543858566 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 684702196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMACHO JORGE | Agent | 1395 CANARY ISLAND DR, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| CAMACHO JORGE | President | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| CAMACHO JORGE | Director | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027 |
| TOVAR YANET | Director | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| TOVAR YANET | Vice President | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| TOVAR YANET | Secretary | 991 SW 147 AVENUE, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-01 | 991 SW 147 AVENUE, PEMBROKE PINES, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-01 | 991 SW 147 AVENUE, PEMBROKE PINES, FL 33027 | No data |
| AMENDMENT | 2004-03-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-17 | 1395 CANARY ISLAND DR, WESTON, WESTON, FL 33327 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-04-25 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-18 |
| ANNUAL REPORT | 2009-03-20 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
