| Entity Name: | A D BLESSING REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Dec 2005 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Aug 2010 (14 years ago) |
| Document Number: | P05000160148 |
| FEI/EIN Number | 204270169 |
| Address: | 2500Del prado Blvd S, Cape Coral, FL, 33991, US |
| Mail Address: | 2500Del prado Blvd S, Cape Coral, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689890576 | 2007-04-18 | 2015-07-01 | 8353 SW 124TH ST, SUITE 105, MIAMI, FL, 331565851, US | 8353 SW 124TH ST, SUITE 105, MIAMI, FL, 331565851, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-969-2444 |
| Fax | 3053784410 |
Authorized person
| Name | DAISY JAY |
| Role | ADMINISTRATOR |
| Phone | 3059692444 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | HCC6195 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010771800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 886785200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JAY DAISY M | Agent | 2500Del prado Blvd S, Cape Coral, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| JAY DAISY M | President | 2500Del prado Blvd S, Cape Coral, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| JAY DAISY M | Secretary | 2500Del prado Blvd S, Cape Coral, FL, 33991 |
| Name | Role | Address |
|---|---|---|
| JAY DAISY M | Director | 2500Del prado Blvd S, Cape Coral, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-20 | 2500Del prado Blvd S, Cape Coral, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-20 | 2500Del prado Blvd S, Cape Coral, FL 33991 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-20 | 2500Del prado Blvd S, Cape Coral, FL 33991 | No data |
| AMENDMENT | 2010-08-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-08-19 | JAY, DAISY M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
