| Entity Name: | FAMILIA ADULT DAY CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jan 2020 (5 years ago) |
| Document Number: | P20000007935 |
| FEI/EIN Number | 84-4544382 |
| Mail Address: | 19120 NW 39TH CT, MIAMI GARDENS, FL, 33055, US |
| Address: | 5951 NW 173rd DR Unit 10, Miami, FL, 33015, US |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124610373 | 2021-02-09 | 2021-11-29 | 3440 W 100TH TER, HIALEAH, FL, 330182103, US | 5951 NW 173RD DR # B10, HIALEAH, FL, 330155112, US | |||||||||||||||||||||
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| Phone | +1 305-298-1043 |
| Phone | +1 305-923-2159 |
Authorized person
| Name | MRS. JAEL CUE |
| Role | PRESIDENT |
| Phone | 3059232159 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9494 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO LIOSBEL | Agent | 19120 NW 39TH CT, MIAMI GARDENS, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO LIOSBEL | President | 19120 NW 39TH CT, MIAMI GARDENS, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ YANIUSKA | Vice President | 19120 NW 39TH CT, MIAMI GARDENS, FL, 33055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-25 | 5951 NW 173rd DR Unit 10, Miami, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-25 | 5951 NW 173rd DR Unit 10, Miami, FL 33015 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-25 | IZQUIERDO, LIOSBEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-25 | 19120 NW 39TH CT, MIAMI GARDENS, FL 33055 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-21 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-29 |
| AMENDED ANNUAL REPORT | 2022-12-05 |
| AMENDED ANNUAL REPORT | 2022-11-15 |
| ANNUAL REPORT | 2022-02-25 |
| Reg. Agent Resignation | 2021-11-16 |
| AMENDED ANNUAL REPORT | 2021-10-06 |
| ANNUAL REPORT | 2021-01-24 |
| Domestic Profit | 2020-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
