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  5. PARADISE FAMILY HEALTHCARE, INC.

PARADISE FAMILY HEALTHCARE, INC.

Company Details

Entity Name: PARADISE FAMILY HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Aug 1998 (26 years ago)
Document Number: P98000070585
FEI/EIN Number 593525509
Address: 1101 TAMIAMI TRAIL SOUTH, #108, VENICE, FL, 34285
Mail Address: 1101 TAMIAMI TRAIL SOUTH, #108, VENICE, FL, 34285
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184708356 2006-10-24 2010-07-01 1101 TAMIAMI TRL S, SUITE 108, VENICE, FL, 342854133, US 1101 TAMIAMI TRL S, SUITE 108, VENICE, FL, 342854133, US

Contacts
Phone +1 941-488-2332
Fax 9418946230

Authorized person
Name DR. KEVIN JAMES MILLER
Role PHYSICIAN/OWNER
Phone 9414882332

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2023 593525509 2024-05-09 PARADISE FAMILY HEALTHCARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2022 593525509 2023-05-26 PARADISE FAMILY HEALTHCARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2021 593525509 2022-05-23 PARADISE FAMILY HEALTHCARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2020 593525509 2021-05-28 PARADISE FAMILY HEALTHCARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2019 593525509 2020-05-21 PARADISE FAMILY HEALTHCARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2018 593525509 2020-02-19 PARADISE FAMILY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2018 593525509 2019-07-17 PARADISE FAMILY HEALTHCARE 6
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PARADISE FAMILY HEALTHCARE 401(K) PLAN 2017 593525509 2018-07-26 PARADISE FAMILY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-08
Business code 621111
Sponsor’s telephone number 9414882332
Plan sponsor’s address 1101 TAMIAMI TR S STE 108, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MILLER RUBEN J Agent 529 Shetland Circle, Nokomis, FL, 34275

President

Name Role Address
MILLER PAMELA J President 529 Shetland Circle, Nokomis, FL, 34275

Vice President

Name Role Address
MILLER RUBEN J Vice President 529 Shetland Circle, Nokomis, FL, 34275

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2008-06-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Related by officers

MILLER PAMELA J

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Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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