| Entity Name: | COURAGE LIVING CARE & SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jun 2014 (11 years ago) |
| Document Number: | P14000053628 |
| FEI/EIN Number | 47-1153438 |
| Address: | 13020 SW 256TH ST, PRINCETON,, FL, 33032 |
| Mail Address: | 13020 SW 256TH ST, PRINCETON,, FL, 33032 |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134594906 | 2015-12-04 | 2015-12-04 | 13020 SW 256TH ST, HOMESTEAD, FL, 330326925, US | 13020 SW 256TH ST, HOMESTEAD, FL, 330326925, US | |||||||||||||||||||||||
|
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| Phone | +1 305-910-5460 |
Authorized person
| Name | MRS. PHEDETTE COURAGE |
| Role | CEO |
| Phone | 3059105460 |
Taxonomy
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| License Number | 111124GH |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0151263000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COURAGE PHEDETTE | Agent | 13020 SW 256TH ST, PRINCETON, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| COURAGE PHEDETTE | President | 13020 SW 256TH ST, PRINCETON, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| COURAGE PHEDETTE | Director | 13020 SW 256TH ST, PRINCETON, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| COURAGE PHEDETTE | Secretary | 13020 SW 256TH ST, PRINCETON, FL, 33032 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000036616 | COURAGE LIVING CARE & SERVICES # 2 | EXPIRED | 2019-03-19 | 2024-12-31 | No data | 13020 SW 256 STREET, HOMESTEAD, FL, 33032 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-06-18 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
