| Entity Name: | NANY HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Feb 1995 (30 years ago) |
| Document Number: | P95000010613 |
| FEI/EIN Number | 650553456 |
| Address: | 13155 SW 134TH ST, SUITE 118, MIAMI, FL, 33186, US |
| Mail Address: | 13155 SW 134TH ST, SUITE 118, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518923390 | 2006-04-21 | 2009-10-27 | 13155 SW 134TH ST, SUITE 118, MIAMI, FL, 331864486, US | 13155 SW 134TH ST, SUITE 118, MIAMI, FL, 331864486, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 305-969-4441 |
| Fax | 3059694451 |
Authorized person
| Name | ROBERTO F GONZALEZ |
| Role | ADMINISTRATOR |
| Phone | 3053873533 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 21869096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650945200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 022224100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ FABIAN A | Agent | 13155 SW 134TH ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ FABIAN A | President | 13155 SW 134TH ST., STE 118, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ FABIAN A | Director | 13155 SW 134TH ST., STE 118, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ROBERTO F | Secretary | 11990 SW 94TH CT., MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2010-08-09 | No data | No data |
| CANCEL ADM DISS/REV | 2009-11-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2007-10-03 | No data | No data |
| AMENDMENT | 2003-02-12 | No data | No data |
| AMENDMENT | 2000-06-01 | No data | No data |
| AMENDMENT | 2000-03-02 | No data | No data |
| AMENDMENT | 1998-08-19 | No data | No data |
| AMENDMENT | 1996-07-17 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001381483 | TERMINATED | 1000000497582 | MIAMI-DADE | 2013-09-06 | 2033-09-12 | $ 4,915.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J12000164080 | LAPSED | 1000000254794 | DADE | 2012-02-29 | 2022-03-07 | $ 731.09 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, DORAL FL331261828 |
| J11000216379 | TERMINATED | 11-3139 CA (11) | CIRCUIT, MIAMI-DADE COUNTY, FL | 2011-04-01 | 2016-04-12 | $32,667.18 | TBF FINANCIAL, LLC, 740 WAUKEGAN ROAD, SUITE 404, DEERFIELD, IL 60015 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
