| Entity Name: | NEW AGE REHAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Aug 1999 (25 years ago) |
| Date of dissolution: | 01 Jun 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Jun 2017 (8 years ago) |
| Document Number: | P99000077376 |
| FEI/EIN Number | 650945476 |
| Address: | 8180 NW 36TH ST, MIAMI, FL, 33166, US |
| Mail Address: | 2248 SW 152ND PLACE, MIAMI, FL, 33185 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689673444 | 2005-07-14 | 2013-07-25 | 2248 SW 152ND PL, MIAMI, FL, 331855710, US | 8180 NW 36TH ST, SUITE 100F, DORAL, FL, 331666645, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-343-5557 |
| Fax | 3052297261 |
Authorized person
| Name | MS. LUZ AMPARO BELTRAN-DULCEY |
| Role | PRESIDENT |
| Phone | 7863435557 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 18003 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 885842000 |
| State | FL |
| Issuer | HOME & COMM BASED SVCS |
| Number | 6826776 96 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AMPARO | Agent | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AMPARO | President | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AMPARO | Secretary | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AMPARO | Treasurer | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AMPARO | Director | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| BELTRAN LUZ AVPD | Vice President | 8180 NW 36TH ST, MIAMI, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-06-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-25 | 8180 NW 36TH ST, 100F, MIAMI, FL 33166 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-25 | 8180 NW 36TH ST, 100F, MIAMI, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-01 | 8180 NW 36TH ST, 100F, MIAMI, FL 33166 | No data |
| AMENDMENT | 2004-09-21 | No data | No data |
| AMENDMENT | 2001-10-22 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2017-06-01 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-16 |
| ANNUAL REPORT | 2014-01-30 |
| AMENDED ANNUAL REPORT | 2013-07-25 |
| ANNUAL REPORT | 2013-03-11 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-02-08 |
| ANNUAL REPORT | 2009-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
