| Entity Name: | UNITED COMMUNITY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jan 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Mar 2015 (10 years ago) |
| Document Number: | P15000007072 |
| FEI/EIN Number | 472949931 |
| Address: | 1177 Hypoluxo Rd, Lantana, FL, 33462, US |
| Mail Address: | 1177 Hypoluxo Rd, Lantana, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326406067 | 2016-02-09 | 2016-09-17 | 6450 W ATLANTIC BLVD, STE #4, MARGATE, FL, 330634532, US | 6450 W ATLANTIC BLVD, STE #4, MARGATE, FL, 330634532, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 786-351-8410 |
Authorized person
| Name | PABLO MUNOZ |
| Role | VICE PRESIDENT |
| Phone | 7863518410 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 234195 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234195 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 373H00000X - Day Training/Habilitation Specialist |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016908500 |
| State | FL |
| Issuer | AGENCY FOR PERSONS WITH DISABILITIES |
| Number | 016908500 |
| State | FL |
| Issuer | AGENCY FOR HEALTHCARE ADMINISTRATION LICENSE NUMBER |
| Number | 234195 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUNOZ PABLO F | Agent | 1177 Hypoluxo Rd, Lantana, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| MUNOZ PABLO F | Chief Executive Officer | 1177 Hypoluxo Rd, Lantana, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| Ortiz Luz D | Director | 1177 Hypoluxo Rd, Lantana, FL, 33462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000108224 | UNITED PERSONAL SUPPORTS | ACTIVE | 2015-10-22 | 2025-12-31 | No data | 400 S FEDERAL HWY, STE 405, BOYNTON BEACH, FL, 33435 |
| G15000060596 | CARRIED-AWAY SERVICES/AL SERVICIO DE LA COMMUNIDAD | EXPIRED | 2015-06-15 | 2020-12-31 | No data | 6450 W ATLANTIC BLVD, STE 4, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-08 | 1177 Hypoluxo Rd, Suite 101-2, Mailbox #115-16, Lantana, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 1177 Hypoluxo Rd, Suite 101-2, Mailbox #115-16, Lantana, FL 33462 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-08 | 1177 Hypoluxo Rd, Suite 101-2, Mailbox #115-16, Lantana, FL 33462 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-12 | MUNOZ, PABLO F | No data |
| AMENDMENT | 2015-03-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-03-31 |
| Amendment | 2015-03-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
