| Entity Name: | TOTAL CARE HOME SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Apr 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Mar 2013 (12 years ago) |
| Document Number: | P05000060222 |
| FEI/EIN Number | 141928018 |
| Address: | 3375 WEST VINE ST, SUITE # 202, KISSIMMEE, FL, 34741, US |
| Mail Address: | 4621 SW 133 AVE, MIAMI, FL, 33175, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710310339 | 2013-08-19 | 2018-12-03 | 2550 NW 72ND AVE STE 210, MIAMI, FL, 331221345, US | 3375 W VINE ST STE 202, KISSIMMEE, FL, 347414665, US | |||||||||||||||||||||||||||
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| Phone | +1 407-483-8871 |
| Fax | 4074838872 |
Authorized person
| Name | MS. MARIA TERESA RAFAELLY |
| Role | PRESIDENT/CEO |
| Phone | 4074838871 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010410900 |
| State | FL |
| Issuer | MEDICARE |
| Number | 683154 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAFAELLY MARIA T | Agent | 4621 SW 133 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RAFAELLY MARIA T | President | 4621 SW 133 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RAFAELLY MARIA T | Director | 4621 SW 133 AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-13 | 3375 WEST VINE ST, SUITE # 202, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-13 | 4621 SW 133 AVE, MIAMI, FL 33175 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-22 | 3375 WEST VINE ST, SUITE # 202, KISSIMMEE, FL 34741 | No data |
| AMENDMENT | 2013-03-21 | No data | No data |
| REINSTATEMENT | 2011-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT | 2010-03-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-10 | RAFAELLY, MARIA T | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-03-11 |
| AMENDED ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
