| Entity Name: | ADVANCE SAM CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ADVANCE SAM CARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Aug 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Dec 2021 (3 years ago) |
| Document Number: | P21000073476 |
| FEI/EIN Number |
87-2078103
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2101 VISTA PARKWAY, SUITE 200, WEST PALM BEACH, FL, 33411 |
| Mail Address: | 2101 VISTA PARKWAY, SUITE 200, WEST PALM BEACH, FL, 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699462960 | 2023-04-18 | 2023-04-18 | 2101 VISTA PKWY STE 200, WEST PALM BEACH, FL, 334112706, US | 2101 VISTA PKWY STE 200, WEST PALM BEACH, FL, 334112706, US | |||||||||||||||||||||||
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| Phone | +1 561-228-7450 |
Authorized person
| Name | TIBAB DELISSER |
| Role | OWNER |
| Phone | 5612287450 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112869600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSE JONATHAN | Director | 2101 VISTA PARKWAY SUITE 200, WEST PALM BEACH, FL, 33411 |
| DELISSER TIBAB | President | 2101 VISTA PARKWAY SUITE 200, WEST PALM BEACH, FL, 33411 |
| DELISSER TIBAB | Agent | 2101 VISTA PARKWAY, WEST PALM BEACH, FL, 33411 |
| ROSE MICHAEL | Chief Executive Officer | 128 MONTEREY WAY, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-12-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-27 | 2101 VISTA PARKWAY, SUITE 200, WEST PALM BEACH, FL 33411 | - |
| CHANGE OF MAILING ADDRESS | 2021-12-27 | 2101 VISTA PARKWAY, SUITE 200, WEST PALM BEACH, FL 33411 | - |
| AMENDMENT | 2021-10-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-10-18 | DELISSER, TIBAB | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-18 | 2101 VISTA PARKWAY, WEST PALM BEACH, FL 33411 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-15 |
| Amendment | 2021-12-27 |
| Amendment | 2021-10-18 |
| Domestic Profit | 2021-08-16 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2689430 | ADVANCE SAM CARE, INC | - | P24FDNKP4AM3 | 2101 VISTA PKWY STE 200, WEST PALM BEACH, FL, 33411-2706 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 624120 |
| NAICS Code's Description | Services for the Elderly and Persons with Disabilities |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
