| Entity Name: | RIVERSIDE SENIOR CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jan 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P06000000925 |
| FEI/EIN Number | 204805465 |
| Address: | 22712 SW 103 CT, MIAMI, FL, 33190 |
| Mail Address: | 22712 SW 103 CT, MIAMI, FL, 33190 |
| ZIP code: | 33190 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649428947 | 2008-08-29 | 2008-08-29 | 22712 SW 103RD CT, CUTLER BAY, FL, 331901778, US | 22712 SW 103RD CT, CUTLER BAY, FL, 331901778, US | |||||||||||||||||||||||||
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| Phone | +1 305-528-6347 |
| Fax | 3055286347 |
Authorized person
| Name | JOSE GARCIA |
| Role | PRESIDENTE |
| Phone | 3055286347 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | A10867 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 143053000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOLAR RAUL | Agent | 22712 SW 103 CT, MIAMI, FL, 33190 |
| Name | Role | Address |
|---|---|---|
| SOLAR RAUL | President | 22712 SW 103 CT, MIAMI, FL, 33190 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-24 | SOLAR, RAUL | No data |
| CANCEL ADM DISS/REV | 2010-02-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-14 | 22712 SW 103 CT, MIAMI, FL 33190 | No data |
| AMENDMENT | 2008-04-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-08 | 22712 SW 103 CT, MIAMI, FL 33190 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-08 | 22712 SW 103 CT, MIAMI, FL 33190 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-05 |
| REINSTATEMENT | 2010-02-05 |
| ANNUAL REPORT | 2008-04-15 |
| Amendment | 2008-04-14 |
| ANNUAL REPORT | 2007-01-08 |
| Domestic Profit | 2006-01-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
