| Entity Name: | LITTLE ANGELS SPECIAL CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 May 2018 (7 years ago) |
| Document Number: | P18000048444 |
| FEI/EIN Number | 83-0680011 |
| Address: | 5979 NW 151 ST, 102-D, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 5979 NW 151 ST, 102-D, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356833537 | 2018-06-04 | 2022-11-21 | 5979 NW 151ST ST STE 102D, MIAMI LAKES, FL, 330142491, US | 5979 NW 151ST ST STE 102D, MIAMI LAKES, FL, 330142491, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-953-5120 |
| Fax | 7866366965 |
Authorized person
| Name | BIANCA M GONZALEZ |
| Role | PRESIDENT |
| Phone | 7869535120 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025077400 |
| State | FL |
| Issuer | AHCA |
| Number | 235785 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ BIANCA M | Agent | 1926 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ BIANCA M | President | 5979 NW 151 ST STE 102-D, MIAMI LAKES, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000075998 | SPECIAL ANGELS NURSE REGISTRY | ACTIVE | 2021-06-07 | 2026-12-31 | No data | 5979 NW 151 STREET, SUITE 102 D, MIAMI LAKES, FL, 33014 |
| G19000013137 | SPECIAL ANGEL'S NURSE REGISTRY | ACTIVE | 2019-01-23 | 2029-12-31 | No data | 5979 NW 151 ST, 102-D, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-11-02 | 5979 NW 151 ST, 102-D, MIAMI LAKES, FL 33014 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-02 | 1926 HOLLYWOOD BLVD, 200, HOLLYWOOD, FL 33020 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 5979 NW 151 ST, 102-D, MIAMI LAKES, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| AMENDED ANNUAL REPORT | 2022-11-02 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-03-19 |
| AMENDED ANNUAL REPORT | 2019-10-25 |
| ANNUAL REPORT | 2019-05-01 |
| Domestic Profit | 2018-05-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
