| Entity Name: | QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 1999 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Mar 2006 (19 years ago) |
| Document Number: | P99000065218 |
| FEI/EIN Number | 650937351 |
| Address: | 1734 SW California Blvd, Port st lucie, FL, 34953, US |
| Mail Address: | 1734 SW California Blvd, Port st lucie, FL, 34953, US |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720295140 | 2007-05-16 | 2013-11-05 | 432 SW PRADO AVE, PORT ST LUCIE, FL, 349838750, US | 432 SW PRADO AVE, PORT ST LUCIE, FL, 349838750, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-879-2501 |
| Fax | 7728790136 |
Authorized person
| Name | MRS. RENEE MARIE DERIENZO |
| Role | PRESIDENT |
| Phone | 7728792501 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9258 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 678899898 |
| State | FL |
| Issuer | MEDICAID |
| Number | 142093300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 678899896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEREINZO RENEE M | Agent | 703 SE Camelot Gardens Blvd, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| RENEE DERIENZO M | President | 703 SE Camelot Gardens Blvd, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| RENEE DERIENZO M | Treasurer | 703 SE Camelot Gardens Blvd, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| RENEE DERIENZO M | Director | 703 SE Camelot Gardens Blvd, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| DeRienzo Krystina | Officer | 232 nw biltmore st, Port st lucie, FL, 34983 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000073936 | QUALITY CARE 2 | ACTIVE | 2013-07-24 | 2028-12-31 | No data | 703 SE CAMELOT GARDENS BLVD, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 1734 SW California Blvd, Port st lucie, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 1734 SW California Blvd, Port st lucie, FL 34953 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-08 | 703 SE Camelot Gardens Blvd, PORT ST LUCIE, FL 34952 | No data |
| AMENDMENT | 2006-03-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
