| Entity Name: | MIRA GROUP HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jul 2015 (10 years ago) |
| Document Number: | L15000113847 |
| FEI/EIN Number | 47-4484547 |
| Address: | 1501 CREST CT., VALRICO, FL, 33594 |
| Mail Address: | 1501 CREST CT., VALRICO, FL, 33594 |
| ZIP code: | 33594 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609322866 | 2016-08-28 | 2016-08-28 | 1501 CREST CT, VALRICO, FL, 335945107, US | 1501 CREST CT, VALRICO, FL, 335945107, US | |||||||||||||||||
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| Phone | +1 813-654-6579 |
Authorized person
| Name | MRS. PATRICIA LOUISE MIRA |
| Role | DIRECTOR |
| Phone | 8136546579 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 595798 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIRA PATRICIA L | Agent | 1501 Crest Court, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| MIRA PATRICIA L | President | 1501 CREST CT., VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| Mira Chris M | Vice President | 1501 CREST CT., VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| Mira Patricia L | Auth | 1501 CREST CT., VALRICO, FL, 33594 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-07-06 | MIRA, PATRICIA LOUISE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-07-06 | 1501 Crest Court, VALRICO, FL 33594 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-07-06 |
| Florida Limited Liability | 2015-07-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
