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QUALI-CARE HOME HEALTH AGENCY, INC. - Florida Company Profile

Company Details

Entity Name: QUALI-CARE HOME HEALTH AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

QUALI-CARE HOME HEALTH AGENCY, 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: 02 Feb 1996 (29 years ago)
Last Event: AMENDMENT
Event Date Filed: 29 Jan 2025 (3 months ago)
Document Number: P96000010745
FEI/EIN Number 650642653

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7750 SW 117 AVENUE, SUITE 307, MIAMI, FL, 33183, US
Mail Address: 7750 SW 117 AVENUE, SUITE 307, MIAMI, FL, 33183, US
ZIP code: 33183
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447344569 2006-10-03 2019-04-01 18001 OLD CUTLER ROAD, SUITE 454, PALMETTO BAY, FL, 33157, US 9245 SW 158TH LN FL 2, PALMETTO BAY, FL, 331571804, US

Contacts

Phone +1 305-232-3979
Fax 3052325017
Fax 7865581881

Authorized person

Name YISSELL SANG
Role ADMINISTRATOR
Phone 3052323979

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299990971
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 650766200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUALICARE HOME HEALTH AGENCY 401(K) PLAN 2023 650642653 2024-07-22 QUALI-CARE HOME HEALTH AGENCY INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621900
Sponsor’s telephone number 3052323979
Plan sponsor’s address 9245 SW 158TH LN, STE 201, PALMETTO BAY, FL, 33157

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PEREZ MONICA President 7750 SW 117 AVENUE, MIAMI, FL, 33183
PEREZ MONICA Director 7750 SW 117 AVENUE, MIAMI, FL, 33183
DE LA MAZA CRISTINA Vice President 7750 SW 117 AVENUE, SUITE 307, MIAMI, FL, 33183
REIG MARIA Treasurer 7750 SW 117 AVENUE, MIAMI, FL, 33183
PEREZ MONICA Agent 7750 SW 117 AVENUE, MIAMI, FL, 33183
PEREZ MONICA Secretary 7750 SW 117 AVENUE, MIAMI, FL, 33183

Events

Event Type Filed Date Value Description
AMENDMENT 2025-01-29 - -
REGISTERED AGENT ADDRESS CHANGED 2025-01-07 7750 SW 117 AVENUE, 307, MIAMI, FL 33183 -
CHANGE OF MAILING ADDRESS 2024-07-30 7750 SW 117 AVENUE, SUITE 307, MIAMI, FL 33183 -
CHANGE OF PRINCIPAL ADDRESS 2024-07-30 7750 SW 117 AVENUE, SUITE 307, MIAMI, FL 33183 -
AMENDMENT 2015-11-17 - -
REGISTERED AGENT NAME CHANGED 2015-05-20 PEREZ, MONICA -
AMENDMENT 2015-05-20 - -
AMENDMENT 2012-10-09 - -

Documents

Name Date
Amendment 2025-01-29
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9378258401 2021-02-16 0455 PPS 9245 SW 158th Ln Ste 201, Palmetto Bay, FL, 33157-1804
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 279000
Loan Approval Amount (current) 279000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Palmetto Bay, MIAMI-DADE, FL, 33157-1804
Project Congressional District FL-27
Number of Employees 20
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 281193.78
Forgiveness Paid Date 2021-12-02
8140037306 2020-05-01 0455 PPP 9245 SW 158TH LN STE 201, PALMETTO BAY, FL, 33157-1804
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 261500
Loan Approval Amount (current) 261500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PALMETTO BAY, MIAMI-DADE, FL, 33157-1804
Project Congressional District FL-27
Number of Employees 80
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 263556.18
Forgiveness Paid Date 2021-02-19

Date of last update: 02 Apr 2025

Sources: Florida Department of State