| Entity Name: | PROFESSIONAL NURSING HOME INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 May 2016 (9 years ago) |
| Document Number: | P16000044022 |
| FEI/EIN Number | 81-2733747 |
| Address: | 18821 W OAKMONT DR, HIALEAH, FL 33015 |
| Mail Address: | 18821 W OAKMONT DR, HIALEAH, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972951895 | 2016-06-01 | 2016-06-01 | 447 E 26TH ST, HIALEAH, FL, 330133818, US | 447 E 26TH ST, HIALEAH, FL, 330133818, US | |||||||||||||
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| Phone | +1 786-423-6758 |
Authorized person
| Name | JOSE R PEREZ |
| Role | PRESIDENT |
| Phone | 7864236758 |
Taxonomy
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, JOSE R | Agent | 18821 W OAKMONT DR, HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| PEREZ, JOSE R | President | 18821 W OAKMONT DR, HIALEAH, FL 33015 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000128077 | PROFESSSIONAL TRANSPORTATION | EXPIRED | 2017-11-21 | 2022-12-31 | No data | 18821 WEST OAKMONT DRIVE, HIALEAH, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-28 | 18821 W OAKMONT DR, HIALEAH, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-28 | 18821 W OAKMONT DR, HIALEAH, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-28 | 18821 W OAKMONT DR, HIALEAH, FL 33015 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-20 |
| Domestic Profit | 2016-05-17 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
