Entity Name: | FLORIDA FAMILY CARE SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Mar 2007 (18 years ago) |
Document Number: | P07000039725 |
FEI/EIN Number | 562648976 |
Address: | 3717 DEL PRADO BLVD S, STE 3, CAPE CORAL, FL, 33904, US |
Mail Address: | 3717 DEL PRADO BLVD S, STE 3, CAPE CORAL, FL, 33904, US |
ZIP code: | 33904 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487055588 | 2014-09-08 | 2014-09-08 | 3717 DEL PRADO BLVD S, SUITE # 6, CAPE CORAL, FL, 339047144, US | 3717 DEL PRADO BLVD S, SUITE # 6, CAPE CORAL, FL, 339047144, US | |||||||||||||||||||||||||||
|
Phone | +1 239-542-4442 |
Fax | 2399455033 |
Authorized person
Name | ELBA TORRES |
Role | DIRECTOR |
Phone | 2398230629 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 000155203 |
State | FL |
Issuer | MEDICAID |
Number | 000155200 |
State | FL |
Name | Role | Address |
---|---|---|
TORRES ELBA | Agent | 1309 NW 14TH AVE, CAPE CORAL, FL, 33993 |
Name | Role | Address |
---|---|---|
TORRES ELBA | President | 1309 NW 14TH AVE, CAPE CORAL, FL, 33993 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-01-08 | 3717 DEL PRADO BLVD S, STE 3, CAPE CORAL, FL 33904 | No data |
CHANGE OF MAILING ADDRESS | 2022-01-08 | 3717 DEL PRADO BLVD S, STE 3, CAPE CORAL, FL 33904 | No data |
REGISTERED AGENT NAME CHANGED | 2022-01-08 | TORRES, ELBA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-06-23 | 1309 NW 14TH AVE, CAPE CORAL, FL 33993 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J12000574841 | TERMINATED | 1000000375266 | LEE | 2012-08-15 | 2022-08-29 | $ 1,738.33 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
J11000749304 | TERMINATED | 1000000238792 | LEE | 2011-11-01 | 2021-11-17 | $ 7,829.40 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-19 |
ANNUAL REPORT | 2023-04-27 |
ANNUAL REPORT | 2022-01-08 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-06-23 |
ANNUAL REPORT | 2019-04-29 |
ANNUAL REPORT | 2018-04-27 |
ANNUAL REPORT | 2017-04-27 |
ANNUAL REPORT | 2016-04-28 |
ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State