| Entity Name: | MICASA ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Oct 2015 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Apr 2017 (8 years ago) |
| Document Number: | L15000171061 |
| FEI/EIN Number | 47-5269486 |
| Address: | 6021 Duval St, Hollywood, FL, 33024, US |
| Mail Address: | 6920 SW 56 CT, DAVIE, FL, 33314, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639631054 | 2019-04-04 | 2020-08-10 | 6920 SW 56TH CT, DAVIE, FL, 333147004, US | 6021 DUVAL ST, HOLLYWOOD, FL, 330247961, US | |||||||||||||||||||||||||
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| Phone | +1 954-613-1163 |
Authorized person
| Name | MICHAEL ROZENBERG |
| Role | OWNER |
| Phone | 9546461212 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106326300 |
| State | FL |
| Issuer | LICENSE |
| Number | AL13462 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROZENBERG MICHAEL | Agent | 6920 SW 56 CT, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| ROZENBERG MICHAEL | Manager | 6920 SW 56 CT, DAVIE, FL, 33314 |
| ROZENBERG NIR | Manager | 6920 SW 56 CT, DAVIE, FL, 33314 |
| FEDER MICHAEL | Manager | 9628 SAVONA WINDS DR, DELRAY BEACH, FL, 33446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000110401 | MICASA MEMORY CARE | ACTIVE | 2023-09-09 | 2028-12-31 | No data | 6920 SW 56 CT, DAVIE, FL, 33314 |
| G23000096278 | BROWARD CENTER FOR MEMORY CARE | ACTIVE | 2023-08-17 | 2028-12-31 | No data | 6920 SW 56 CT, DAVIE, FL, 33314 |
| G18000067698 | MICASA SENIOR LIVING | ACTIVE | 2018-06-13 | 2028-12-31 | No data | 6920 SW 56 COURT, DAVIE, FL, 33314 |
| G15000128493 | NEW HOPE GROUP HOME | EXPIRED | 2015-12-19 | 2020-12-31 | No data | 6920 SW 56 CT, DAVIE, FL, 33314 |
| G15000104175 | MICASA ASSISTED LIVING | EXPIRED | 2015-10-12 | 2020-12-31 | No data | 6920 SW 56 CT, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-18 | 6021 Duval St, Hollywood, FL 33024 | No data |
| LC AMENDMENT | 2017-04-20 | No data | No data |
| REINSTATEMENT | 2016-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-18 | ROZENBERG, MICHAEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-01-14 |
| LC Amendment | 2017-04-20 |
| ANNUAL REPORT | 2017-03-21 |
| REINSTATEMENT | 2016-10-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
