| Entity Name: | SENIOR COMMUNITY BASED SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jul 2016 (9 years ago) |
| Document Number: | P16000058664 |
| FEI/EIN Number | 81-3281078 |
| Address: | 1021 pine ave, Lehigh acres, FL, 33972, US |
| Mail Address: | 1021 pine ave, Lehigh acres, FL, 33972, US |
| ZIP code: | 33972 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679023147 | 2016-10-10 | 2016-10-21 | 1840 W 49TH ST STE 311, APT 103, HIALEAH, FL, 330122978, US | 1840 W 49TH ST STE 311, APT 103, HIALEAH, FL, 330122978, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-970-8480 |
Authorized person
| Name | MANUEL FERNANDEZ CUERVO |
| Role | CEO |
| Phone | 7867016007 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 234592 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234592 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | 234592 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Yeni Alfonso | Agent | 1021 pine ave, Lehigh acres, FL, 33972 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ MANUEL | President | 6190 W 19TH AVE APT 103, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| Alfonso Madruga Yeni | Vice President | 1021 pine ave, Lehigh acres, FL, 33972 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000127309 | ON TIME DISPOSAL | ACTIVE | 2024-10-15 | 2029-12-31 | No data | 1021 PINE AVE, LEHIGH ACRES, FL, 33972 |
| G24000115263 | MLC INSURANCE AGENCY | ACTIVE | 2024-09-14 | 2029-12-31 | No data | 1021 PINE AVE, LEHIGH ACRES, FL, 33972 |
| G23000097436 | SALUD ES FORTUNA INSURANCE AGENCY | ACTIVE | 2023-08-21 | 2028-12-31 | No data | 1021 PINE AVE, LEHIGH ACRES, FL, 33972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 1021 pine ave, Lehigh acres, FL 33972 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 1021 pine ave, Lehigh acres, FL 33972 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-28 | 1021 pine ave, Lehigh acres, FL 33972 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-29 | Yeni, Alfonso | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-20 |
| Domestic Profit | 2016-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
