| Entity Name: | BLANCO HOME HEALTH CARE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Jun 1996 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Oct 2010 (14 years ago) |
| Document Number: | P96000049423 |
| FEI/EIN Number | 65-0676704 |
| Address: | 604 -606 NW 25TH AVENUE, MIAMI, FL 33125 |
| Mail Address: | 604 -606 NW 25TH AVENUE, MIAMI, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699977553 | 2007-06-04 | 2012-01-28 | 604 NW 25TH AVE, MIAMI, FL, 331254444, US | 604 NW 25TH AVE, MIAMI, FL, 331254444, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-649-9299 |
Authorized person
| Name | JENNY PICHARDO |
| Role | PRESDENT |
| Phone | 3056499299 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 8370 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 690841100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 142652400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PICHARDO, JENNY | Agent | 604-606 NW 25TH AVENUE, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| PICHARDO, JENNY | President | 604-606 NW 25TH AVENUE, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| PICHARDO, JENNY | Director | 604-606 NW 25TH AVENUE, MIAMI, FL 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2010-10-25 | No data | No data |
| AMENDMENT | 2009-09-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-06-12 | 604-606 NW 25TH AVENUE, MIAMI, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-06-12 | PICHARDO, JENNY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-08-12 | 604 -606 NW 25TH AVENUE, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2003-08-12 | 604 -606 NW 25TH AVENUE, MIAMI, FL 33125 | No data |
| NAME CHANGE AMENDMENT | 2001-03-05 | BLANCO HOME HEALTH CARE CORPORATION | No data |
| AMENDMENT | 2001-03-01 | No data | No data |
| NAME CHANGE AMENDMENT | 1996-11-07 | BLANCO HOME CARE CORPORATION | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4180597404 | 2020-05-08 | 0455 | PPP | 604 NW 25 AVENUE, MIAMI, FL, 33125 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
