| Entity Name: | GUARDIAN CARE SERVICES OF BROWARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Feb 2003 (22 years ago) |
| Document Number: | P03000018159 |
| FEI/EIN Number | 161655983 |
| Address: | 6941 SW 196th Avenue, suite 7, Pembroke Pines, FL, 33332, US |
| Mail Address: | 6941 SW 196th Avenue, suite 7, Pembroke Pines, FL, 33332, US |
| ZIP code: | 33332 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336158914 | 2006-08-05 | 2023-10-30 | 6941 SW 196TH AVE STE 7, FORT LAUDERDALE, FL, 333321615, US | 6941 SW 196TH AVE STE 7, FORT LAUDERDALE, FL, 333321615, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-438-0005 |
| Fax | 9544997009 |
| Phone | +1 305-498-2664 |
Authorized person
| Name | MADELEYN M BLOODWORTH |
| Role | PRESIDENT |
| Phone | 3054982664 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991810 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651005100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bloodworth William | Agent | 6941 SW 196th Avenue, Pembroke Pines, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| Bloodworth William L | President | 6941 SW 196th Avenue, Pembroke Pines, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| Bloodworth Madeleyn | Vice President | 6941 SW 196th Avenue, Pembroke Pines, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| Bloodworth Madeleyn | Treasurer | 6941 SW 196th Avenue, Pembroke Pines, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| Bloodworth William L | Secretary | 6941 SW 196th Avenue, Pembroke Pines, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-23 | 6941 SW 196th Avenue, suite 7, Pembroke Pines, FL 33332 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-27 | 6941 SW 196th Avenue, suite 7, Pembroke Pines, FL 33332 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-27 | 6941 SW 196th Avenue, suite 7, Pembroke Pines, FL 33332 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-18 | Bloodworth, William | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-05-24 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
