| Entity Name: | QUALCARE NURSE REGISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 2018 (6 years ago) |
| Document Number: | P18000091448 |
| FEI/EIN Number | 36-4915497 |
| Address: | 7491 WEST OAKLABD PK BLVD, SUITE 304, Lauderhill, FL 33319 |
| Mail Address: | 7491 WEST OAKLABD PK BLVD, SUITE 304, Lauderhill, FL 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063152858 | 2022-03-30 | 2022-03-30 | 3800 INVERRARY BLVD STE 100O, LAUDERHILL, FL, 333194316, US | 3800 INVERRARY BLVD STE 100O, LAUDERHILL, FL, 333194316, US | |||||||||||||||||||||||||
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| Phone | +1 954-839-9819 |
| Fax | 9546345699 |
Authorized person
| Name | MR. LEONARD W BAILEY |
| Role | ADMINISTRATOR |
| Phone | 9546384572 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104500100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bailey, Leonard W | Agent | 3800 Inverrary Blvd, Ste 100-0, Lauderhill, FL 33319 |
| Name | Role | Address |
|---|---|---|
| Bailey, Leonard W | President | 3800 Inverrary Blvd – Ste 100-0, Lauderhill, FL 33319 |
| Name | Role | Address |
|---|---|---|
| Bailey, Johanna Ulett | Vice President | 3800 Inverrary Blvd – Ste 100-0, Lauderhill, FL 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-17 | 7491 WEST OAKLABD PK BLVD, SUITE 304, Lauderhill, FL 33319 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-17 | 7491 WEST OAKLABD PK BLVD, SUITE 304, Lauderhill, FL 33319 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-02 | Bailey, Leonard W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-02 | 3800 Inverrary Blvd, Ste 100-0, Lauderhill, FL 33319 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-02 |
| Domestic Profit | 2018-11-05 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
