| Entity Name: | BERMUDEZ SENIOR CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 May 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Jan 2016 (9 years ago) |
| Document Number: | P07000061372 |
| FEI/EIN Number | 26-0543645 |
| Address: | 5301 SW 162 PLACE, MIAMI, FL 33185 |
| Mail Address: | 5301 SW 162 PLACE, MIAMI, FL 33185 |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760640122 | 2008-06-01 | 2008-06-01 | 5301 SW 162ND PL, MIAMI, FL, 331855045, US | 5301 SW 162ND PL, MIAMI, FL, 331855045, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-227-2661 |
| Fax | 3052272551 |
Authorized person
| Name | MS. MAYENCYS TRIANA |
| Role | PRESIDENT |
| Phone | 3052272661 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11117 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142884500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 693049200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRIANA, MAYENCYS | Agent | 5301 SW 162 PLACE, MIAMI, FL 33185 |
| Name | Role | Address |
|---|---|---|
| TRIANA, MAYENCYS | President | 5301 SW 162 PLACE, MIAMI, FL 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2016-01-28 | No data | No data |
| AMENDMENT | 2007-07-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-02 | TRIANA, MAYENCYS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-08 |
| Amendment | 2016-01-28 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
