| Entity Name: | MERINO ADULT FAMILY CARE HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Aug 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Sep 2010 (14 years ago) |
| Document Number: | L08000082542 |
| FEI/EIN Number | 263356631 |
| Address: | 1510 DINGENS AVENUE, WINDERMERE, FL, 34786, US |
| Mail Address: | 1510 DINGENS AVENUE, WINDERMERE, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770289100 | 2023-02-07 | 2023-02-07 | 1510 DINGENS AVE, WINDERMERE, FL, 347868000, US | 1510 DINGENS AVE, WINDERMERE, FL, 347868000, US | |||||||||||||||||||||
|
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| Phone | +1 407-295-8872 |
| Fax | 4076013554 |
Authorized person
| Name | DAYSI M. MERINO |
| Role | OWNER/MGR |
| Phone | 3476933620 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 114622200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MERINO DAYSI | Agent | 1510 DINGENS AVENUE, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| MERINO DAYSI | Admi | 1510 DINGENS AVENUE, WINDERMERE, FL, 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000003360 | MERINO ASSISTED LIVING FACILITY | ACTIVE | 2022-01-10 | 2027-12-31 | No data | 1510 DINGENS AVENUE, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-09-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-05-04 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
