| Entity Name: | FATIMA HOME CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 1997 (28 years ago) |
| Document Number: | P97000025208 |
| FEI/EIN Number | 650743407 |
| Address: | 1454 S.W. 1 Street, Miami, FL, 33135, US |
| Mail Address: | 1454 S.W. 1 Street, Miami, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669432852 | 2006-03-23 | 2012-05-14 | 1454 SW 1ST ST, SUITE 120, MIAMI, FL, 331352203, US | 1454 SW 1ST ST, SUITE 120, MIAMI, FL, 331352203, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-631-0029 |
| Fax | 3055419245 |
Authorized person
| Name | ALICIA BARREIRO |
| Role | ADMINSTRATOR |
| Phone | 3056310029 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991118 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 676842300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 685228979 |
| State | FL |
| Issuer | MEDICAID |
| Number | 650723200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARREIRO ZORAIDA A | Agent | 1454 SW 1 Street, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| BARREIRO ALICIA P | President | 1454 SW 1 Street, Miami, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| BARREIRO ZORAIDA A | Vice President | 1454 S.W. 1 Street, Miami, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| Barreiro Bruno A | Director | 1454 S.W. 1 Street, Miami, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-08 | BARREIRO, ZORAIDA AURORA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-27 | 1454 S.W. 1 Street, Suite 120, Miami, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-27 | 1454 S.W. 1 Street, Suite 120, Miami, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 1454 SW 1 Street, Suite 120, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-09-13 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
