Entity Name: | ST. SOPHIA NURSING CARE, CORPORATION |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Sep 2008 (16 years ago) |
Document Number: | P08000086073 |
FEI/EIN Number | 263392622 |
Address: | 702 SW 57 AVE, MIAMI, FL, 33144 |
Mail Address: | 4760 SW 143rd Ave, Miami, FL, 33175, US |
ZIP code: | 33144 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679724850 | 2008-10-06 | 2008-10-06 | 702 SW 57TH AVE, MIAMI, FL, 331443922, US | 702 SW 57TH AVE, MIAMI, FL, 331443922, US | |||||||||||||||||||||
|
Phone | +1 305-265-3239 |
Fax | 3052653240 |
Authorized person
Name | DEYANIRA GUTIERREZ |
Role | ADMINISTRATOR/DON |
Phone | 3052653239 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | APPLYING FOR AHCA/MEDICARE |
Number | P0800086073 |
State | FL |
Name | Role | Address |
---|---|---|
GUTIERREZ DEYANIRA | Agent | 4760 SW 143 AVENUE, MIAMI, FL, 33175 |
Name | Role | Address |
---|---|---|
GUTIERREZ DEYANIRA | President | 4760 SW 143 AVENUE, MIAMI, FL, 33175 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-03 | 702 SW 57 AVE, MIAMI, FL 33144 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2009-01-12 | 702 SW 57 AVE, MIAMI, FL 33144 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-17 |
ANNUAL REPORT | 2024-02-03 |
ANNUAL REPORT | 2023-01-22 |
ANNUAL REPORT | 2022-01-27 |
ANNUAL REPORT | 2021-02-05 |
ANNUAL REPORT | 2020-01-23 |
ANNUAL REPORT | 2019-02-15 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-01-06 |
ANNUAL REPORT | 2016-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State