Entity Name: | GENTLE REHAB INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 20 Apr 2004 (21 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 13 Apr 2012 (13 years ago) |
Document Number: | P04000064842 |
FEI/EIN Number | 201018705 |
Address: | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140, US |
Mail Address: | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140, US |
ZIP code: | 33140 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205309275 | 2019-01-02 | 2019-01-02 | 12440 KEYSTONE ISLAND DR, NORTH MIAMI, FL, 331812421, US | 15701 NW 37TH AVE, OPA LOCKA, FL, 330546373, US | |||||||||||||||||||||||||
|
Phone | +1 305-310-0247 |
Fax | 3053786760 |
Phone | +1 305-200-8927 |
Fax | 3052008926 |
Authorized person
Name | CECILIA O JELINEK |
Role | SOLE PROPRIETOR |
Phone | 3053100247 |
Taxonomy
Taxonomy Code | 225X00000X - Occupational Therapist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 0025847100 |
State | FL |
Name | Role | Address |
---|---|---|
JELINEK CECILIA | Agent | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140 |
Name | Role | Address |
---|---|---|
JELINEK CECILIA | President | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140 |
Name | Role | Address |
---|---|---|
JELINEK JOSEPH | Secretary | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140 |
Name | Role | Address |
---|---|---|
JELINEK JOSEPH | Treasurer | 12440 KEYSTONE ISLAND DRIVE, NORTH MIAMI, FL, 33140 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 2012-04-13 | GENTLE REHAB INC. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-10 |
ANNUAL REPORT | 2022-03-26 |
ANNUAL REPORT | 2021-03-11 |
ANNUAL REPORT | 2020-05-08 |
ANNUAL REPORT | 2019-04-14 |
ANNUAL REPORT | 2018-03-18 |
ANNUAL REPORT | 2017-03-26 |
ANNUAL REPORT | 2016-03-22 |
ANNUAL REPORT | 2015-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State