| Entity Name: | LAS BRISAS HOME CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Feb 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Oct 2020 (4 years ago) |
| Document Number: | P03000016561 |
| FEI/EIN Number | 300165653 |
| Address: | 7401 WEST 34 LANE, HIALEAH, FL, 33018, US |
| Mail Address: | 7401 WEST 34 LANE, HIALEAH, FL, 33018, US |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437360088 | 2007-05-25 | 2020-12-09 | 7401 WEST 34TH LANE, HIALEAH, FL, 330181797, US | 7401 WEST 34TH LANE, HIALEAH, FL, 330181797, US | |||||||||||||||||||||||||
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| Phone | +1 786-558-7207 |
| Fax | 3052251289 |
Authorized person
| Name | EVELYN MARCIAL |
| Role | OWNER |
| Phone | 7862346619 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10300 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 141942100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARCIAL EVELYN | Agent | 7401 W 34 LN, HIALEAH, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| MARCIAL EVELYN | President | 7401 WEST 34 LANE, HIALEAH, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| MARCIAL EVELYN | Director | 7401 WEST 34 LANE, HIALEAH, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 7401 WEST 34 LANE, HIALEAH, FL 33018 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-05 | 7401 W 34 LN, HIALEAH, FL 33018 | No data |
| AMENDMENT | 2020-10-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-02 | 7401 WEST 34 LANE, HIALEAH, FL 33018 | No data |
| AMENDMENT | 2020-04-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-01 | MARCIAL, EVELYN | No data |
| AMENDMENT | 2003-07-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-15 |
| Amendment | 2020-10-05 |
| Amendment | 2020-04-02 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
