| Entity Name: | MIS ABUELOS HOME CARE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Dec 2007 (17 years ago) |
| Document Number: | P07000128983 |
| FEI/EIN Number | 223973166 |
| Address: | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Mail Address: | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689097982 | 2014-01-23 | 2014-01-23 | 8422 WOODLAKE DR, TAMPA, FL, 336151717, US | 8422 WOODLAKE DR, TAMPA, FL, 336151717, US | |||||||||||||||||||||||||
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| Phone | +1 813-784-0328 |
| Fax | 8138861430 |
Authorized person
| Name | MR. DAGOBERTO MEDINA |
| Role | OWNER |
| Phone | 8137840328 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | AL11421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL11421 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Medina Dagoberto | Agent | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| MONTANO MAYEIMI | Director | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| MEDINA DAGOBERTO | Director | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| MONTANO MAYEIMI | President | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| MEDINA DAGOBERTO | Vice President | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| MEDINA DAGOBERTO | Secretary | 8422 WOODLAKE DR., TAMPA, FL, 33615 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000063192 | MIS ABUELOS HOME CARE CORP. | ACTIVE | 2020-06-05 | 2025-12-31 | No data | 8422 WOODLAKE DR, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-22 | 8422 WOODLAKE DR., TAMPA, FL 33615 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-26 | Medina, Dagoberto | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
