| Entity Name: | ILDEXYS HOME HEALTH CARE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Feb 2018 (7 years ago) |
| Document Number: | P18000014958 |
| FEI/EIN Number | 82-4442663 |
| Mail Address: | 6580 West 22 Lane, Hialeah, FL, 33016, US |
| Address: | 3340 NW 80 TERR, MIAMI, FL, 33147 |
| ZIP code: | 33147 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801363080 | 2018-10-25 | 2021-02-15 | 3340 NW 80TH TER, MIAMI, FL, 331474623, US | 3340 NW 80TH TER, MIAMI, FL, 331474623, US | |||||||||||||||||||||
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| Phone | +1 786-631-5934 |
| Fax | 7866152749 |
Authorized person
| Name | HERIBERTA ALADRO DE PUPO |
| Role | OWNER |
| Phone | 3059269421 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | AL13229 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALADRO DE PUPO HERIBERTA | Agent | 6580 West 22 Lane, Hialeah, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| Aladro de Pupo Heriberta | President | 6580 West 22 Lane, Hialeah, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-11 | 3340 NW 80 TERR, MIAMI, FL 33147 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 6580 West 22 Lane, Hialeah, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-09-01 | ALADRO DE PUPO, HERIBERTA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-27 |
| AMENDED ANNUAL REPORT | 2020-11-15 |
| AMENDED ANNUAL REPORT | 2020-09-01 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-02-11 |
| Domestic Profit | 2018-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
