| Entity Name: | ADVANTIS HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Jan 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 10 Oct 2005 (19 years ago) |
| Document Number: | P04000014028 |
| FEI/EIN Number | 51-0495046 |
| Address: | 8801 SW 132 ST, MIAMI, FL 33176 |
| Mail Address: | 8801 SW 132 ST, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235216839 | 2006-11-01 | 2023-01-26 | 8801 SW 132ND ST, MIAMI, FL, 331765926, US | 8801 SW 132ND ST, MIAMI, FL, 331765926, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-631-1075 |
| Fax | 3056311590 |
Authorized person
| Name | MR. JESSICA M TAGLE |
| Role | ADMINISTRATOR |
| Phone | 3056311075 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA299992041 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 10-8275 |
| State | FL |
| Issuer | MEDICAID |
| Number | 651193700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAGLE, JESSICA | Agent | 8801 SW 132 ST, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| RUIZ, MARTHA | Secretary | 9145 Fontainebleau BLVD, Unit 5 MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| TAGLE, JESSICA | President | 8801 SW 132 ST, MIAMI, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-24 | TAGLE, JESSICA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-24 | 8801 SW 132 ST, MIAMI, FL 33176 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-14 | 8801 SW 132 ST, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-14 | 8801 SW 132 ST, MIAMI, FL 33176 | No data |
| CANCEL ADM DISS/REV | 2005-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
