Entity Name: | BRILLIANT STARS INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Mar 2014 (11 years ago) |
Document Number: | P14000024649 |
FEI/EIN Number | 46-5143259 |
Address: | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021, US |
Mail Address: | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021, US |
ZIP code: | 33021 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841608635 | 2014-07-24 | 2015-01-21 | 2500 HOLLYWOOD BLVD, 403, HOLLYWOOD, FL, 330206615, US | 2500 HOLLYWOOD BLVD, 403, HOLLYWOOD, FL, 330206615, US | |||||||||||||||||||||||||||||||
|
Phone | +1 954-347-8500 |
Fax | 9549209875 |
Authorized person
Name | MS. SABRINA CAPRON ALTIDOR |
Role | ADMINISTRATOR |
Phone | 3055279325 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | No |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 012700800 |
State | FL |
Issuer | MEDICAID |
Number | 000950700 |
State | FL |
Name | Role | Address |
---|---|---|
ALTIDOR SABRINA C | Agent | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
Name | Role | Address |
---|---|---|
ALTIDOR SABRINA C | President | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2018-04-07 | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
CHANGE OF MAILING ADDRESS | 2018-04-07 | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-04-07 | 5600 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-07 |
ANNUAL REPORT | 2023-02-16 |
ANNUAL REPORT | 2022-02-03 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-02-28 |
ANNUAL REPORT | 2019-03-03 |
ANNUAL REPORT | 2018-04-07 |
ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2016-04-26 |
ANNUAL REPORT | 2015-03-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State