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SUPREME ADULT DAY CARE,INC

Company Details

Entity Name: SUPREME ADULT DAY CARE,INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Oct 2019 (5 years ago)
Document Number: P19000080554
FEI/EIN Number 84-3524037
Address: 8250 WEST 21 LN, HIALEAH, FL, 33016, US
Mail Address: 8250 West 21 Ln, Hialeah, FL, 33016, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699417741 2022-04-10 2022-04-10 8250 W 21ST LN STE 100, HIALEAH, FL, 330161908, US 8250 W 21ST LN STE 100, HIALEAH, FL, 330161908, US

Contacts

Phone +1 305-846-9345
Fax 3053920316

Authorized person

Name VIVIAN FLEITAS
Role PRESIDENT
Phone 3058469345

Taxonomy

Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
FERNANDEZ JOSE Agent 2921 NW 106TH ST, MIAMI, FL, 33147

President

Name Role Address
FLEITAS VIVIAN President 2921 NW 106 ST, MIAMI, FL, 33147

Vice President

Name Role Address
FERNANDEZ JOSE Vice President 2931 NW 106 ST, MIAMI, FL, 33147

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-27 8250 WEST 21 LN, SUITE 100, HIALEAH, FL 33016 No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-28 8250 WEST 21 LN, SUITE 100, HIALEAH, FL 33016 No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-07
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-28
Domestic Profit 2019-10-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State