| Entity Name: | FAMILY CARE NURSE REGISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Feb 2002 (23 years ago) |
| Document Number: | P02000013668 |
| FEI/EIN Number | 020559583 |
| Address: | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL, 33023, US |
| Mail Address: | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942462908 | 2008-06-30 | 2008-06-30 | 6151 MIRAMAR PKWY, SUITE 125, MIRAMAR, FL, 330233970, US | 6151 MIRAMAR PKWY, SUITE 125, MIRAMAR, FL, 330233970, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-322-6237 |
| Fax | 9543226238 |
Authorized person
| Name | JANNETT ROSE TAYLOR-BROWN |
| Role | ADMINISTRATOR |
| Phone | 9543226237 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 30211075 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685144496 |
| State | FL |
| Issuer | MEDICAID |
| Number | 685144498 |
| State | FL |
| Issuer | MEDICAID |
| Number | 686916500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAYLOR-BROWN JANNETT | Agent | 6151 MIRAMAR PARKWAY, MIRAMAR, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| TAYLOR-BROWN JANNETT | President | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| HUNTER-BURRELL LUCILLE | Vice President | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL, 33023 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000033811 | FAMILY CARE HOMEMAKER COMPANION SERVICES OF BROWARD | ACTIVE | 2015-04-02 | 2025-12-31 | No data | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | TAYLOR-BROWN, JANNETT | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-28 | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-28 | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL 33023 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-28 | 6151 MIRAMAR PARKWAY, SUITE 125, MIRAMAR, FL 33023 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-04-11 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
