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GRACE CARE FAMILY HOME, CORP

Company Details

Entity Name: GRACE CARE FAMILY HOME, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 2012 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2013 (11 years ago)
Document Number: P12000103024
FEI/EIN Number 46-3753005
Address: 4221 W 5 LANE, HIALEAH, FL, 33012
Mail Address: 4221 W 5 LANE, HIALEAH, FL, 33012
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962824623 2014-01-15 2014-01-15 4221 W 5TH LN, HIALEAH, FL, 330123811, US 4221 W 5TH LN, HIALEAH, FL, 330123811, US

Contacts

Phone +1 305-557-0800

Authorized person

Name GRACIELA GOMEZ
Role OWNER
Phone 3055570800

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 10394
State FL
Is Primary Yes

Agent

Name Role Address
GOMEZ GRACIELA Agent 4221 W 5 LANE, HIALEAH, FL, 33012

President

Name Role Address
GOMEZ GRACIELA President 4221 W 5 LANE, HIALEAH, FL, 33012

Vice President

Name Role Address
GOMEZ GIRALDO Vice President 4221 W 5 LANE, HIALEAH, FL, 33012

Events

Event Type Filed Date Value Description
REINSTATEMENT 2013-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-02-29
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-02-18
ANNUAL REPORT 2015-01-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State