| Entity Name: | PRECIOUS MOMENTS ADULT DAYCARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Oct 2019 (5 years ago) |
| Document Number: | P19000079617 |
| FEI/EIN Number | 84-3613592 |
| Address: | 13460 NW 107th Ave, HIALEAH, FL, 33018, US |
| Mail Address: | 13460 NW 107th Ave, HIALEAH GARDENS, FL, 33018, US |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881263762 | 2021-06-23 | 2021-06-23 | 13460 NW 107TH AVE STE 5-6, HIALEAH GARDENS, FL, 330181184, US | 13460 NW 107TH AVE STE 5-6, HIALEAH GARDENS, FL, 330181184, US | |||||||||||||||||||
|
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| Phone | +1 786-266-6042 |
Authorized person
| Name | MR. ALAIN RODRIGUEZ |
| Role | OWNER |
| Phone | 7862666042 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9505 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ-MENA ALAIN | Agent | 13460 NW 107th Ave, HIALEAH GARDENS, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ-MENA ALAIN | President | 13460 NW 107th Ave, HIALEAH GARDENS, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-30 | 13460 NW 107th Ave, 5,6, HIALEAH, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 13460 NW 107th Ave, 5,6, HIALEAH, FL 33018 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 13460 NW 107th Ave, 5,6, HIALEAH GARDENS, FL 33018 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| Domestic Profit | 2019-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
