| Entity Name: | EDWARDS FAMILY CARE CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 May 2022 (3 years ago) |
| Document Number: | P22000044363 |
| FEI/EIN Number | 88-2525719 |
| Address: | 1261 NW 171 STREET, MIAMI GARDENS, FL 33169 |
| Mail Address: | 1261 NW 171 STREET, MIAMI GARDENS, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1811623572 | 2022-07-26 | 2022-08-23 | 1261 NW 171ST ST, MIAMI GARDENS, FL, 331695212, US | 1261 NW 171ST ST, MIAMI GARDENS, FL, 331695212, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-901-9815 |
Authorized person
| Name | MR. TERRANCE EDWARDS |
| Role | OWNER |
| Phone | 3059019815 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 332800000X - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, SHATROYIA | Agent | 1261 NW 171 STREET, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| EDWARDS, TERRANCE | President | 1261 NW 171 STREET, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, SHATROYIA | Vice President | 1261 NW 171ST STREET, MIAMI, FL 33169 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| Domestic Profit | 2022-05-27 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
