| Entity Name: | RENACER HOME HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Sep 1996 (28 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P96000078265 |
| FEI/EIN Number | 650702579 |
| Address: | 14750 NW 77 CT, STE 108, MIAMI LAKES, FL, 33016, US |
| Mail Address: | 14750 NW 77 CT, STE 108, MIAMI LAKES, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558391268 | 2006-07-05 | 2013-01-16 | 14750 NW 77TH CT, STE 108, HIALEAH, FL, 330161507, US | 14750 NW 77TH CT, STE 108, HIALEAH, FL, 330161507, US | |||||||||||||||||||||||||
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| Phone | +1 305-817-1800 |
| Fax | 3058178622 |
Authorized person
| Name | MRS. MAYRA M PADRON |
| Role | ADMINISTRATOR |
| Phone | 3058171800 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991119 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650901100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUAREZ ELIZABETH | Agent | 14750 NW 77 CT, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| SUAREZ ELIZABETH | Director | 14750 NW 77 CT, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| SUAREZ ALEXANDER | Vice President | 14750 NW 77 CT, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-11-30 | 14750 NW 77 CT, STE 108, MIAMI LAKES, FL 33016 | No data |
| AMENDMENT | 2017-11-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-21 | SUAREZ, ELIZABETH | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-06 | 14750 NW 77 CT, STE 108, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-06 | 14750 NW 77 CT, STE 108, MIAMI LAKES, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-19 |
| AMENDED ANNUAL REPORT | 2018-07-25 |
| ANNUAL REPORT | 2018-04-10 |
| AMENDED ANNUAL REPORT | 2017-11-30 |
| Amendment | 2017-11-21 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4502907710 | 2020-05-01 | 0455 | PPP | 14750 NW 77 CT. 108, MIAMI LAKES, FL, 33016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4443968407 | 2021-02-06 | 0455 | PPS | 14750 NW 77th Ct Ste 108, Miami Lakes, FL, 33016-1507 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
