| Entity Name: | IBIS HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jun 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P04000096204 |
| FEI/EIN Number | 342001094 |
| Address: | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| Mail Address: | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629227111 | 2008-09-09 | 2008-09-09 | 15088 SW 71ST LN, MIAMI, FL, 331931911, US | 15088 SW 71ST LN, MIAMI, FL, 331931911, US | |||||||||||||||||||||||
|
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| Phone | +1 305-557-0260 |
Authorized person
| Name | LAZARO PEREZ |
| Role | PRESIDENT |
| Phone | 3055570260 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10579 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142319300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ TANIA | Agent | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| PEREZ TANIA | President | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| PEREZ TANIA | Secretary | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| PEREZ LAZARO | Vice President | 15088 S.W. 71ST LANE, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-08-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | PEREZ, TANIA | No data |
| REINSTATEMENT | 2012-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-08 |
| REINSTATEMENT | 2018-08-21 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-28 |
| REINSTATEMENT | 2012-10-17 |
| ANNUAL REPORT | 2011-02-25 |
| ANNUAL REPORT | 2010-02-27 |
| ANNUAL REPORT | 2009-06-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
