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FAMILIA GROUP HOME, INC.

Company Details

Entity Name: FAMILIA GROUP HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Nov 2004 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Sep 2016 (8 years ago)
Document Number: P04000154958
FEI/EIN Number 20-1870507
Address: 17883 SW 155TH COURT, MIAMI, FL 33187
Mail Address: 17883 SW 155TH COURT, MIAMI, FL 33187
ZIP code: 33187
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700402880 2020-06-24 2020-06-24 17883 SW 155TH CT, MIAMI, FL, 331871712, US 17883 SW 155TH CT, MIAMI, FL, 331871712, US

Contacts

Phone +1 954-549-3569

Authorized person

Name OCTAVIUS SMITH
Role OWNER
Phone 9545493569

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
SMITH, OCTAVIUS Agent 16205 SW 36TH DRIVE, MIRAMAR, FL 33027

Manager

Name Role Address
smith, octavius Manager 16205 Southwest 36th Drive, Miramar, FL 33027

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-09-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2014-05-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CANCEL ADM DISS/REV 2010-05-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CANCEL ADM DISS/REV 2006-09-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data 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

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-07-06
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-06-14
ANNUAL REPORT 2018-05-10
ANNUAL REPORT 2017-04-30
REINSTATEMENT 2016-09-30
ANNUAL REPORT 2015-05-01

Date of last update: 04 Jan 2025

Sources: Florida Department of State