| Entity Name: | DIANA ADULT HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jul 2004 (21 years ago) |
| Date of dissolution: | 15 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Mar 2018 (7 years ago) |
| Document Number: | P04000109076 |
| FEI/EIN Number | 861117171 |
| Address: | 7464 NW 16TH STREET, PLANTATION, FL, 33313 |
| Mail Address: | 7464 NW 16TH STREET, PLANTATION, FL, 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699083683 | 2010-09-23 | 2010-09-23 | 7464 NW 16TH ST, PLANTATION, FL, 333135112, US | 7464 NW 16TH ST, PLANTATION, FL, 333135112, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-316-9313 |
Authorized person
| Name | MS. DIANIA THOMPSON |
| Role | PROVIDER |
| Phone | 9543169313 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 6905810 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142359200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMPSON DIANA T | Agent | 7464 NW 16TH STREET, PLANTATION, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| THOMPSON DIANA T | President | 7464 NW 16TH STREET, PLANTATION, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-07-19 | THOMPSON, DIANA T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-07-19 | 7464 NW 16TH STREET, PLANTATION, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-02-06 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-03-18 |
| ANNUAL REPORT | 2010-02-26 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
