| Entity Name: | HOME SWEET HOME CARE FACILITY, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Sep 1999 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Jul 2024 (7 months ago) |
| Document Number: | P99000081829 |
| FEI/EIN Number | 651024119 |
| Address: | 5341 E 5TH AVE, HIALEAH, FL, 33013, US |
| Mail Address: | 5341 E 5TH AVE, HIALEAH, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194902361 | 2008-01-29 | 2024-07-26 | 5341 EAST 5 AVENUE, HIALEAH, FL, 330131546, US | 5341 EAST 5 AVENUE, HIALEAH, FL, 330131546, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-359-4429 |
| Fax | 3056753117 |
Authorized person
| Name | MR. ADRIAN ROCHE |
| Role | PRESIDENT |
| Phone | 7865712135 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9862 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 680281800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 024457700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 140437700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROCHE ADRIAN | Agent | 5341 E 5TH AVE, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| ROCHE ADRIAN | President | 5341 E. 5TH AVE., HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-09-04 | ROCHE, ADRIAN | No data |
| AMENDMENT | 2024-07-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-01 | 5341 E 5TH AVE, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-01 | 5341 E 5TH AVE, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-01 | 5341 E 5TH AVE, HIALEAH, FL 33013 | No data |
| AMENDMENT | 2024-06-04 | No data | No data |
| AMENDMENT | 2020-12-03 | No data | No data |
| AMENDMENT | 2018-02-06 | No data | No data |
| AMENDMENT | 2017-09-13 | No data | No data |
| AMENDMENT | 2017-01-03 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-04 |
| Amendment | 2024-07-12 |
| AMENDED ANNUAL REPORT | 2024-07-01 |
| Amendment | 2024-06-04 |
| ANNUAL REPORT | 2024-02-09 |
| AMENDED ANNUAL REPORT | 2023-12-07 |
| AMENDED ANNUAL REPORT | 2023-08-16 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-02-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
