| Entity Name: | WEST DADE FAMILY CARE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Jul 2016 (9 years ago) |
| Document Number: | P08000049613 |
| FEI/EIN Number | 262649949 |
| Address: | 4585 SW 159TH COURT, MIAMI, FL, 33185, US |
| Mail Address: | 4585 SW 159TH COURT, MIAMI, FL, 33185, US |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174752893 | 2009-07-02 | 2009-07-02 | 4585 SW 159TH CT, MIAMI, FL, 331853807, US | 4585 SW 159TH CT, MIAMI, FL, 331853807, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-553-8008 |
| Fax | 3055538008 |
Authorized person
| Name | DIOSDADO GUTIERREZ |
| Role | PRESIDENT |
| Phone | 3055538008 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11458 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000579800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ KATIUSKA | Agent | 4585 SW 159TH COURT, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ KATIUSKA | President | 4585 SW 159TH COURT, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ KATIUSKA | Secretary | 4585 SW 159TH COURT, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ KATIUSKA | Treasurer | 4585 SW 159TH COURT, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ KATIUSKA | Director | 4585 SW 159TH COURT, MIAMI, FL, 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2016-07-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-09 | GUTIERREZ, KATIUSKA | No data |
| REINSTATEMENT | 2010-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-04-07 |
| Amendment | 2016-07-28 |
| AMENDED ANNUAL REPORT | 2016-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
