| Entity Name: | KIDS MIRACLE STEPS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Nov 2021 (3 years ago) |
| Document Number: | P18000087705 |
| FEI/EIN Number | 83-2427949 |
| Address: | 1371-1381 N PALM AVE, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | 1371-1381 N PALM AVE, PEMBROKE PINES, FL, 33026, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710527296 | 2020-01-13 | 2021-07-15 | 1371-1381 N PALM AVE., PEMBROKE PINES, FL, 33024, US | 1371-1381 N PALM AVE., PEMBROKE PINES, FL, 33024, US | |||||||||||||||||||||
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| Phone | +1 954-505-4937 |
| Fax | 9542128111 |
Authorized person
| Name | GALINA KLYACHMAN |
| Role | ADMINISTRATOR |
| Phone | 6466628658 |
Taxonomy
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105261500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KLYACHMAN GALINA | Agent | 1371-1381 N PALM AVE, PEMBROKE PINES, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| IFFRAIMOV RAMIL | Vice President | 2804 EAST 19TH ST APT 6C, BROOKLYN, NY, 11235 |
| Name | Role | Address |
|---|---|---|
| KLYACHMAN GALINA | President | 1371-1381 N PALM AVE, SUNNY ISLES, FL, 330263345 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 1371-1381 N PALM AVE, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 1371-1381 N PALM AVE, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-06 | 1371-1381 N PALM AVE, PEMBROKE PINES, FL 33026 | No data |
| AMENDMENT | 2021-11-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-15 | KLYACHMAN, GALINA | No data |
| AMENDMENT | 2021-08-13 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-06 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-25 |
| Amendment | 2021-11-15 |
| Amendment | 2021-08-13 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-06-17 |
| Domestic Profit | 2018-10-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
