| Entity Name: | GOLDEN MIRACLE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Apr 2009 (16 years ago) |
| Document Number: | P09000035430 |
| FEI/EIN Number | 264726162 |
| Address: | 14601 SW 29th St, MIRAMAR, FL, 33027, US |
| Mail Address: | 14601 SW 29th St, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447822762 | 2021-07-15 | 2021-07-15 | 14601 SW 29TH ST STE 110, MIRAMAR, FL, 330274715, US | 14601 SW 29TH ST STE 110, MIRAMAR, FL, 330274715, US | |||||||||||||||||||||
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| Phone | +1 954-862-2236 |
| Fax | 9549440822 |
Authorized person
| Name | BRENO CARDOSO |
| Role | ADMINISTRATOR |
| Phone | 9548622236 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002023800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARDOSO BRENO R | Agent | 14601 SW 29th St, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| CARDOSO BRENO R | President | 14601 SW 29th St, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| Cardoso Nahir | Vice President | 14601 SW 29th St, MIRAMAR, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000081347 | GOLDEN MIRACLE INC | ACTIVE | 2024-07-08 | 2029-12-31 | No data | GOLDEN MIRACLE, INC, 14601 SW 29TH ST SUITE 110 SUITE 110, MIRAMAR, FL, 33027 |
| G09000100120 | GOLDEN MIRACLE INC | EXPIRED | 2009-04-22 | 2014-12-31 | No data | 20756 SW 126 CT, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-26 | 14601 SW 29th St, 110, MIRAMAR, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 14601 SW 29th St, 110, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-26 | 14601 SW 29th St, 110, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-04 | CARDOSO, BRENO R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-04 |
| AMENDED ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-09 |
| AMENDED ANNUAL REPORT | 2016-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
