| Entity Name: | SPECTRUM LIFE CARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SPECTRUM LIFE CARE SERVICES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 31 Jan 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Oct 2013 (12 years ago) |
| Document Number: | P01000011699 |
| FEI/EIN Number |
651071644
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12260 SW 53RD STREET, SUITE # 611, COOPER CITY, FL, 33330 |
| Mail Address: | 12260 SW 53RD STREET, SUITE # 611, COOPER CITY, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508989666 | 2007-04-06 | 2020-09-08 | 12260 SW 53RD ST STE 611, COOPER CITY, FL, 333303320, US | 12260 SW 53RD ST STE 611, COOPER CITY, FL, 333303320, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-499-5794 |
| Fax | 9542524844 |
| Fax | 9543091520 |
Authorized person
| Name | JOSEPH CIAVARELLA SR. |
| Role | PRESIDENT |
| Phone | 9544995794 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 228629 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 681078196 |
| State | FL |
| Issuer | MEDICAID |
| Number | 681078198 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPECTRUM CARE 401K PLAN | 2011 | 651071644 | 2012-07-25 | SPECTRUM LIFE CARE SERVICES, INC. | 24 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 651071644 |
| Plan administrator’s name | SPECTRUM LIFE CARE SERVICES, INC. |
| Plan administrator’s address | 11011 SHERIDAN ST STE 216, COOPER CITY, FL, 33026 |
| Administrator’s telephone number | 9544995794 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-25 |
| Name of individual signing | FRED HAUSMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9544995794 |
| Plan sponsor’s address | 11011 SHERIDAN STREET SUITE 216, COOPER CITY, FL, 33026 |
Plan administrator’s name and address
| Administrator’s EIN | 651071644 |
| Plan administrator’s name | SPECTRUM LIFE CARE SERVICES, INC. |
| Plan administrator’s address | 11011 SHERIDAN STREET SUITE 216, COOPER CITY, FL, 33026 |
| Administrator’s telephone number | 9544995794 |
Signature of
| Role | Plan administrator |
| Date | 2012-11-29 |
| Name of individual signing | FRED HAUSMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9544995794 |
| Plan sponsor’s address | 11011 SHERIDAN ST STE 216, COOPER CITY, FL, 33026 |
Plan administrator’s name and address
| Administrator’s EIN | 651071644 |
| Plan administrator’s name | SPECTRUM LIFE CARE SERVICES, INC. |
| Plan administrator’s address | 11011 SHERIDAN ST STE 216, COOPER CITY, FL, 33026 |
| Administrator’s telephone number | 9544995794 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-26 |
| Name of individual signing | FRED HAUSMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9544995794 |
| Plan sponsor’s address | 11011 SHERIDAN ST STE 216, COOPER CITY, FL, 33026 |
Plan administrator’s name and address
| Administrator’s EIN | 651071644 |
| Plan administrator’s name | SPECTRUM LIFE CARE SERVICES, INC. |
| Plan administrator’s address | 11011 SHERIDAN ST STE 216, COOPER CITY, FL, 33026 |
| Administrator’s telephone number | 9544995794 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-01 |
| Name of individual signing | FRED HAUSMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CIAVARELLA JOSEPH ASR | Director | 12260 SW 53RD STREET, COOPER CITY, FL, 33330 |
| CIAVARELLA JOSEPH ASR | Agent | 12260 SW 53RD STREET, COOPER CITY, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-09-14 | 12260 SW 53RD STREET, SUITE # 611, COOPER CITY, FL 33330 | - |
| CHANGE OF MAILING ADDRESS | 2020-09-14 | 12260 SW 53RD STREET, SUITE # 611, COOPER CITY, FL 33330 | - |
| AMENDMENT | 2013-10-28 | - | - |
| AMENDMENT | 2013-01-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-01-02 | CIAVARELLA, JOSEPH A, SR | - |
| AMENDMENT | 2012-11-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-17 | 12260 SW 53RD STREET, SUITE # 611, COOPER CITY, FL 33330 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-17 |
| AMENDED ANNUAL REPORT | 2020-09-14 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3158137405 | 2020-05-06 | 0455 | PPP | 12260 SW 53RD STREET, COOPER CITY, FL, 33330 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6697858506 | 2021-03-04 | 0455 | PPS | 12260 SW 53rd St, Cooper City, FL, 33330-3320 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
