| Entity Name: | ANGEL PEDIATRIC HEALTH CARE FACILITY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Sep 2004 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000132443 |
| FEI/EIN Number | 201660491 |
| Address: | 2589 NORTH STATE ROAD 7, LAUDERHILL, FL, 33313, US |
| Mail Address: | 2589 NORTH STATE ROAD 7, LAUDERHILL, FL, 33313, US |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457642241 | 2011-04-27 | 2011-04-27 | 2589 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333132778, US | 2589 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333132778, US | |||||||||||||||||
|
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| Phone | +1 954-322-0752 |
Authorized person
| Name | MS. MYRA A. WEISS BOGACZ |
| Role | PRESIDENT |
| Phone | 9543320752 |
Taxonomy
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| License Number | 60080978 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEISS BOGACZ MYRA A | Agent | 25889 NORTH STATE ROAD ROAD 7, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| WEISS BOGACZ MYRA A | President | 2589 N STATE ROAD 7, LAUDERHILL, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2011-02-16 | ANGEL PEDIATRIC HEALTH CARE FACILITY INC. | No data |
| AMENDMENT | 2010-07-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-07-29 | WEISS BOGACZ, MYRA A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-07-29 | 25889 NORTH STATE ROAD ROAD 7, LAUDERHILL, FL 33313 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000403744 | LAPSED | 09-266-D2 | LEON | 2012-03-22 | 2017-05-15 | $1,696.85 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-07-28 |
| Name Change | 2011-02-16 |
| Amendment | 2010-07-29 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-04-04 |
| ANNUAL REPORT | 2007-01-05 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-03-21 |
| Domestic Profit | 2004-09-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
