| Entity Name: | PRIME SUPPORT CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2019 (5 years ago) |
| Document Number: | P18000034378 |
| FEI/EIN Number | 82-5227328 |
| Address: | 12750 SW 128 ST, Miami, FL, 33186, US |
| Mail Address: | 12750 SW 128 ST, Miami, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457840050 | 2018-05-09 | 2022-01-17 | 15443 SW 184TH ST, MIAMI, FL, 331871754, US | 12750 SW 128TH ST STE 203, MIAMI, FL, 331865380, US | |||||||||||||||||||
|
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| Phone | +1 305-414-3653 |
Authorized person
| Name | ZULEMA GONZALEZ SANCHEZ |
| Role | CEO |
| Phone | 3054143653 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION |
| Number | 299995438 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ZULEMA | Agent | 15443 SW 184 ST, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ZULEMA | President | 15443 SW 184 ST, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| GARCIA YULIET | Vice President | 15443 SW 184 ST, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-13 | 12750 SW 128 ST, Suite 203, Miami, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-13 | 12750 SW 128 ST, Suite 203, Miami, FL 33186 | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | GONZALEZ, ZULEMA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-25 |
| AMENDED ANNUAL REPORT | 2021-09-13 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-02-28 |
| REINSTATEMENT | 2019-10-14 |
| Domestic Profit | 2018-04-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
