| Entity Name: | GOLDEN HEALTH REHABILITATION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Feb 1996 (29 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P96000014528 |
| FEI/EIN Number | 650639981 |
| Address: | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126, US |
| Mail Address: | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699848192 | 2006-11-15 | 2011-09-13 | 7254 SW 48TH ST, MIAMI, FL, 331555525, US | 7254 SW 48TH ST, MIAMI, FL, 331555525, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 305-265-7878 |
| Fax | 3052659919 |
Authorized person
| Name | MS. ALICIA FAJARDO |
| Role | CEO |
| Phone | 3052657878 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 101434 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PART A (PHP) |
| Number | 10-1434 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003761900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FAJARDO ALICIA | Agent | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| FAJARDO ALICIA | President | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| FAJARDO ALICIA | Vice President | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| FAJARDO MONICA | Vice President | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| PEREZ ROBERTO E | Vice President | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| FAJARDO ALICIA | Secretary | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| FAJARDO ALICIA | Treasurer | 6715 TAMIAMI CANAL RD, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-11-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-11-05 | 6715 TAMIAMI CANAL RD, MIAMI, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-11-05 | 6715 TAMIAMI CANAL RD, MIAMI, FL 33126 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2009-05-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REINSTATEMENT | 2007-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REINSTATEMENT | 2006-10-13 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2014-11-05 |
| ANNUAL REPORT | 2011-08-23 |
| ANNUAL REPORT | 2010-04-16 |
| REINSTATEMENT | 2009-05-13 |
| REINSTATEMENT | 2007-09-25 |
| REINSTATEMENT | 2006-10-13 |
| ANNUAL REPORT | 2005-03-21 |
| ANNUAL REPORT | 2004-08-16 |
| ANNUAL REPORT | 2003-04-02 |
| ANNUAL REPORT | 2002-02-04 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 316326172 | 0418800 | 2012-02-23 | 7254 SW 48TH ST, MIAMI, FL, 33155 | |||||||||||
|
||||||||||||||
Date of last update: 02 Feb 2025
Sources: Florida Department of State
