| Entity Name: | ROSEL HOME EQUIPMENT CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Aug 1995 (29 years ago) |
| Document Number: | P95000064556 |
| FEI/EIN Number | 650608232 |
| Address: | 6830 NW 77 COURT, MIAMI, FL, 33166, US |
| Mail Address: | 6830 NW 77 COURT, MIAMI, FL, 33166, US |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427027218 | 2006-03-15 | 2019-11-18 | 6830 NW 77TH CT, MIAMI, FL, 331662713, US | 6830 NW 77TH CT, MIAMI, FL, 331662713, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-883-5033 |
| Fax | 3058838909 |
Authorized person
| Name | MAITE GARCIA |
| Role | OWNER |
| Phone | 3058835033 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1314179 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 1314179 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1314179 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID PAC WAIVER |
| Number | 682343200 |
| State | FL |
| Issuer | MEDICAID BRAIN AND SPINAL CORD INJURY |
| Number | 688572179 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017010400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA MAITE P | Agent | 6830 NW 77 COURT, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| GARCIA MAITE | President | 6830 NW 77 COURT, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| DE LEON AYMEE G | Treasurer | 6830 NW 77 COURT, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| DE LEON AYMEE G | Secretary | 6830 NW 77 COURT, MIAMI, FL, 33166 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000092412 | ROSEL MEDICAL | ACTIVE | 2016-08-25 | 2026-12-31 | No data | 6830 NW 77TH CT, MIAMI, FL, 33166 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
