| Entity Name: | S.L.B. THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Dec 2005 (19 years ago) |
| Document Number: | P05000160627 |
| FEI/EIN Number | 900256588 |
| Address: | 10920 S.W. 184 Street, MIAMI, FL, 33157, US |
| Mail Address: | 13262 S.W. 119TER, MIAMI, FL, 33186 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154577070 | 2008-08-12 | 2016-05-27 | 13262 SW 119 TER., MIAMI, FL, 331864554, US | 10920 SW 184TH ST, CUTLER BAY, FL, 331576608, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-378-5775 |
| Fax | 3053785772 |
Authorized person
| Name | MRS. URANIA MARIA CALDERA |
| Role | CLINICAL DIRECTOR / OWNER |
| Phone | 3053785775 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000051800 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S.L.B. THERAPY INC. GHT BENEFIT PLAN | 2022 | 900256588 | 2024-01-30 | S.L.B. THERAPY INC. | 13 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2024-01-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2022-04-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 3053785775 |
| Plan sponsor’s address | 10920 SW 184TH ST, CUTLER BAY, FL, 331576608 |
Plan administrator’s name and address
| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CALDERA URANIA M | Agent | 13262 S.W. 119TER, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| CALDERA URANIA M | President | 13262 S.W. 119TER, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-19 | 10920 S.W. 184 Street, MIAMI, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-01 | CALDERA, URANIA MPRES. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-02-19 |
| ANNUAL REPORT | 2015-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
