| Entity Name: | LIFETIME HOME HEALTH CARE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Apr 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Dec 2015 (9 years ago) |
| Document Number: | P08000041103 |
| FEI/EIN Number | 262476843 |
| Address: | 13335 SW 124 Street, MIAMI, FL, 33186, US |
| Mail Address: | 13335 SW 124 Street, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912166497 | 2008-06-09 | 2024-09-09 | 13335 SW 124TH ST STE 103, MIAMI, FL, 331867513, US | 13335 SW 124TH ST STE 103, MIAMI, FL, 331867513, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 305-412-9070 |
| Fax | 3054129071 |
| Fax | 3054127773 |
Authorized person
| Name | ALBERT CARLOS LEY JR. |
| Role | ADMINISTRATOR |
| Phone | 3054129070 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112988100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEY ALBERTO C | Agent | 13335 SW 124 Street, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| LEY ALBERTO C | President | 13335 SW 124 Street, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-09 | 13335 SW 124 Street, 103, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-09 | 13335 SW 124 Street, 103, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-09 | 13335 SW 124 Street, 103, MIAMI, FL 33186 | No data |
| AMENDMENT | 2015-12-10 | No data | No data |
| AMENDMENT | 2011-11-16 | No data | No data |
| AMENDMENT | 2009-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
