| Entity Name: | AMY'S ANGELS HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Dec 2015 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Nov 2017 (7 years ago) |
| Document Number: | P15000101412 |
| FEI/EIN Number | 810930554 |
| Address: | 92200 Overseas Hwy Suite 124, TAVERNIER, FL, 33070, US |
| Mail Address: | 92200 Overseas Hwy Suite 124, TAVERNIER, FL, 33070, US |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013375971 | 2016-02-08 | 2021-08-04 | 92300 OVERSEAS HWY, SUITE 201, TAVERNIER, FL, 330702726, US | 92300 OVERSEAS HWY, SUITE 201, TAVERNIER, FL, 330702726, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 305-771-7059 |
Authorized person
| Name | AMADA T ALFONSO |
| Role | OWNER |
| Phone | 7863910695 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018989500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 018989503 |
| State | FL |
| Issuer | MEDICAID |
| Number | 018989501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALFONSO AMADA T | Agent | 92300 OVERSEAS HIGHWAY SUITE #201, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| ALFONSO AMADA T | President | 92200 Overseas Hwy Suite 124, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| GANNON AMY A | Secretary | 15902 SW 66TH TERRACE, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| GANNON AMY A | Treasurer | 15902 SW 66TH TERRACE, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-04 | 92200 Overseas Hwy Suite 124, TAVERNIER, FL 33070 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-04 | 92200 Overseas Hwy Suite 124, TAVERNIER, FL 33070 | No data |
| AMENDMENT | 2017-11-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-07-05 | ALFONSO, AMADA T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-07-05 | 92300 OVERSEAS HIGHWAY SUITE #201, TAVERNIER, FL 33070 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-08 |
| Amendment | 2017-11-03 |
| AMENDED ANNUAL REPORT | 2017-07-05 |
| AMENDED ANNUAL REPORT | 2017-06-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
