| Entity Name: | SAN JUDAS HOME CARE III, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Mar 2017 (8 years ago) |
| Document Number: | P11000011670 |
| FEI/EIN Number | 80-0812508 |
| Address: | 251 NW 108 ST, MIAMI, FL, 33168, US |
| Mail Address: | 251 NW 108 ST, MIAMI, FL, 33168, US |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881026136 | 2013-08-08 | 2013-08-08 | 251 NW 108TH ST, MIAMI, FL, 331683222, US | 251 NW 108TH ST, MIAMI, FL, 331683222, US | |||||||||||||||||||||||
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| Phone | +1 786-222-5469 |
Authorized person
| Name | GRECIA PURI |
| Role | ADMINISTRATION |
| Phone | 3052225456 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12298 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007396600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PURI GRECIA M | Agent | 251 NW 108 ST, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| PURI GRECIA M | President | 251 NW 108 ST, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| PURI GRECIA M | Director | 251 NW 108 ST, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| CEDENO GRECIA | Vice President | 251 NW 108 ST, MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-03-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-27 |
| Amendment | 2017-03-21 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
