| Entity Name: | SERENITY RG SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Aug 2014 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 May 2021 (4 years ago) |
| Document Number: | P14000065660 |
| FEI/EIN Number | 47-1516261 |
| Address: | 6447 MIAMI LAKES DR. E. SUITE 206, MIAMI LAKES, FL 33014 |
| Mail Address: | 6447 Miami Lakes Drive East, 206, Miami Lakes, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336521418 | 2015-06-24 | 2021-12-02 | 6447 MIAMI LAKES DR STE 206, MIAMI LAKES, FL, 330142762, US | 7065 W 10TH AVE, HIALEAH, FL, 330145205, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-640-5739 |
| Fax | 3056405698 |
Authorized person
| Name | ROSA I PEREZ |
| Role | PRESIDENT |
| Phone | 3056405739 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 15694200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 020106000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 13606800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, ROSA I | Agent | 7065 W 10 AVE, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| PEREZ, ROSA I | President | 7065 W 10 AVE, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| PEREZ, HECTOR HERAS | Vice President | 7065 W 10TH AVE, HIALEAH, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-06 | 6447 MIAMI LAKES DR. E. SUITE 206, MIAMI LAKES, FL 33014 | No data |
| AMENDMENT | 2021-05-18 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-20 | 6447 MIAMI LAKES DR. E. SUITE 206, MIAMI LAKES, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-06 |
| Amendment | 2021-05-18 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
