Entity Name: | SYLVIA'S RETIREMENT HOME, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 08 Dec 1986 (38 years ago) |
Document Number: | J45851 |
FEI/EIN Number | 592748573 |
Address: | SYLVIA'S RETIREMENT HOME, INC., 1823 NW 94 ST, MIAMI, FL, 33147, US |
Mail Address: | SYLVIA'S RETIREMENT HOME, INC., 1823 NW 94 ST, MIAMI, FL, 33147, US |
ZIP code: | 33147 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134552284 | 2013-08-13 | 2013-08-13 | 1823 NW 94TH ST, MIAMI, FL, 331473155, US | 1823 NW 94TH ST, MIAMI, FL, 331473155, US | |||||||||||||||||||||||
|
Phone | +1 786-423-0429 |
Authorized person
Name | SYLVIA WILLIAMS |
Role | OWNER |
Phone | 7864230429 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | 5887 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 140850000 |
State | FL |
Name | Role | Address |
---|---|---|
WILLIAMS SYLVIA | Agent | 1381 S.W. 104TH AVE, PEMBROKE PINES, FL, 33025 |
Name | Role | Address |
---|---|---|
WILLIAMS SYLVIA | President | 1381 S.W. 104TH AVE, PEMBROKE PINES, FL, 33025 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CONVERSION | 2012-06-22 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L12000083569. CONVERSION NUMBER 900000123529 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State