| Entity Name: | AVIVA NURSING SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2018 (7 years ago) |
| Document Number: | P18000065315 |
| FEI/EIN Number | 83-1364089 |
| Address: | 2655 East Oakland Park Blvd., Fort Lauderdale, FL, 33306, US |
| Mail Address: | 2655 E. Oakland Park Blvd., Ft. Lauderdale, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013575505 | 2019-05-30 | 2022-04-25 | 2655 E OAKLAND PARK BLVD, SUITE 5, FORT LAUDERDALE, FL, 33306, US | 7900 OAK LANE, SUITE 400, MIAMI LAKES, FL, 33016, US | |||||||||||||||||||||||
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| Phone | +1 786-237-8420 |
| Fax | 7864314061 |
| Phone | +1 305-889-7041 |
Authorized person
| Name | MATEO MARTINEZ |
| Role | OWNER |
| Phone | 9549936299 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102011800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MATEO J | Agent | 2655 E. Oakland Park Blvd., Ft. Lauderdale, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| Martinez Mateo J | Director | 2655 E. Oakland Park Blvd., Ft. Lauderdale, FL, 33306 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000081112 | MIND & MOBILITY | ACTIVE | 2020-07-10 | 2025-12-31 | No data | 2655 E. OAKLAND PARK BLVD., SUITE 5, FT. LAUDERDALE, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 2655 East Oakland Park Blvd., SUITE 5, Fort Lauderdale, FL 33306 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-09 | 2655 East Oakland Park Blvd., SUITE 5, Fort Lauderdale, FL 33306 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-09 | MARTINEZ, MATEO J. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-09 | 2655 E. Oakland Park Blvd., Suite 5, Ft. Lauderdale, FL 33306 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| AMENDED ANNUAL REPORT | 2020-10-09 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-05 |
| Domestic Profit | 2018-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
