Entity Name: | MAZAL NURSING SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 31 Oct 2012 (12 years ago) |
Document Number: | P12000091562 |
FEI/EIN Number | 46-1301808 |
Address: | 2828 SW 22 ST # 103, MIAMI, FL 33145 |
Mail Address: | 2828 SW 22 ST # 103, MIAMI, FL 33145 |
ZIP code: | 33145 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1477108546 | 2019-08-06 | 2022-02-23 | 1930 HARRISON STREET, SUITE 205, HOLLYWOOD, FL, 330207828, US | 1930 HARRISON STREET, SUITE 205, HOLLYWOOD, FL, 330207828, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 954-456-1199 |
Fax | 9544586633 |
Authorized person
Name | MRS. SANDRA RUB |
Role | CEO/ADMINISTRATOR |
Phone | 7865547010 |
Taxonomy
Taxonomy Code | 251J00000X - Nursing Care Agency |
Is Primary | No |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Taxonomy Code | 3747A0650X - Attendant Care Provider |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 107976600 |
State | FL |
Issuer | MEDICAID |
Number | 018518500 |
State | FL |
Name | Role | Address |
---|---|---|
RUB, SANDRA | Agent | 1728 Coral Way,, Suite 100, Coral Gables, FL 33145 |
Name | Role | Address |
---|---|---|
RUB, SANDRA | Chief Executive Officer | 2828 SW 22ND STREET, SUITE 103 MIAMI, FL 33145 |
Name | Role | Address |
---|---|---|
RUB, SANDRA | Chief Financial Officer | 2828 SW 22ND STREET, SUITE 103 MIAMI, FL 33145 |
Name | Role | Address |
---|---|---|
CURRY, PATRICIA | President | 2828 SW 22ND STREET, SUITE 103 MIAMI, FL 33145 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-09-16 | 2828 SW 22 ST # 103, MIAMI, FL 33145 | No data |
CHANGE OF MAILING ADDRESS | 2024-09-16 | 2828 SW 22 ST # 103, MIAMI, FL 33145 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-03-11 | 1728 Coral Way,, Suite 100, Coral Gables, FL 33145 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-06 |
ANNUAL REPORT | 2023-04-16 |
ANNUAL REPORT | 2022-04-15 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-05-27 |
ANNUAL REPORT | 2019-03-11 |
ANNUAL REPORT | 2018-04-13 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-03-10 |
ANNUAL REPORT | 2015-03-30 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State