| Entity Name: | DREAM TEAM GROUP HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2010 (15 years ago) |
| Document Number: | P10000002934 |
| FEI/EIN Number | 900538624 |
| Address: | 7245 SW 39 Terrace, MIAMI, FL, 33155, US |
| Mail Address: | 7245 SW 39 Terrace, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841696929 | 2014-11-17 | 2014-11-17 | 3653 NW 4TH TER, MIAMI, FL, 331254073, US | 3653 NW 4TH TER, MIAMI, FL, 331254073, US | |||||||||||||||||||||||||
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| Phone | +1 305-609-1258 |
| Fax | 8664901272 |
Authorized person
| Name | MISS CYNTHIA GAY |
| Role | OWNER AND DIRECTOR |
| Phone | 3056091258 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | 11-954-GH |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003237800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAY ORLANDO | Agent | 7245 SW 39 Terrace, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| GAY ORLANDO | President | 7245 SW 39 Terrace, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| Rivera Suyapa I | Vice President | 7245 SW 39 Terrace, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-24 | RIVERA, SUYAPA | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-18 | GAY, ORLANDO | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-20 | 7245 SW 39 Terrace, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-20 | 7245 SW 39 Terrace, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-20 | 7245 SW 39 Terrace, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-23 |
| AMENDED ANNUAL REPORT | 2023-09-07 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-03-03 |
| AMENDED ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
