| Entity Name: | SILVER MOMENTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2007 (18 years ago) |
| Document Number: | L07000000555 |
| FEI/EIN Number | 208337477 |
| Address: | 8847 NW 180 TERRACE, MIAMI, FL, 33018 |
| Mail Address: | 4546 NW 111 COURT, MIAMI, FL, 33178 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407017098 | 2008-06-17 | 2008-06-17 | 4546 NW 111TH CT, DORAL, FL, 331784362, US | 4546 NW 111TH CT, DORAL, FL, 331784362, US | |||||||||||||||||||||||||
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| Phone | +1 305-878-5970 |
| Fax | 3055970531 |
Authorized person
| Name | MRS. BEATRIZ DIAZ |
| Role | ADMINISTRADOR |
| Phone | 3058785970 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL11053 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142852700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIAZ BEATRIZ | Agent | 4546 NW 111 COURT, MIAMI, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| DIAZ BEATRIZ | Managing Member | 4546 NW 111 COURT, MIAMI, FL, 33178 |
| BUZZI OSVALDO | Managing Member | 4546 NW 111 COURT, MIAMI, FL, 33178 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
