| Entity Name: | MIS ABUELITOS ADULT DAY CARE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Feb 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Sep 2021 (3 years ago) |
| Document Number: | P21000014594 |
| FEI/EIN Number | 86-2161505 |
| Address: | 8290 BIRD RD, MIAMI, FL, 33155, US |
| Mail Address: | 8290 BIRD RD, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962077065 | 2021-05-21 | 2021-05-21 | 14904 SW 168TH TER, MIAMI, FL, 331871762, US | 8290 SW 40TH ST STE 101-102, MIAMI, FL, 331553312, US | |||||||||||||||||||||
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| Phone | +1 786-720-8475 |
| Phone | +1 786-715-2351 |
Authorized person
| Name | VERONICA MACHIN |
| Role | OWNER |
| Phone | 7867208475 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9417 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROCHE ADRIAN | Agent | 8290 BIRD RD, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| ROCHE ADRIAN | President | 8290 SW 40 ST, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-12 | 8290 BIRD RD, STE 101-102, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-12 | 8290 BIRD RD, STE 101-102, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-12 | 8290 BIRD RD, STE 101-102, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-02 | ROCHE, ADRIAN | No data |
| AMENDMENT | 2021-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-02-02 |
| Amendment | 2021-09-21 |
| Domestic Profit | 2021-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
