| Entity Name: | PREMIUM EDGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Sep 2016 (8 years ago) |
| Document Number: | L16000174178 |
| FEI/EIN Number | 32-0506571 |
| Address: | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 |
| Mail Address: | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528733375 | 2021-08-13 | 2021-08-13 | 4301 ANCHOR PLAZA PKWY STE 400, TAMPA, FL, 336347529, US | 777 ROY WALL BLVD, ROCKLEDGE, FL, 329556217, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-330-2660 |
| Fax | 8448080071 |
| Phone | +1 321-549-3980 |
Authorized person
| Name | BILLIE ABREU |
| Role | RM & COMPLIANCE MANAGER |
| Phone | 8133302660 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL13616 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALBORNOZ, WILLIAM H, Esq. | Agent | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA DESIGAUD, JOSE ALBERTO | Manager | 901 PONCE DE LEON BLVD., Suite 204 CORAL GABLES, FL 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000099410 | ALURA SENIOR LIVING | ACTIVE | 2022-08-23 | 2027-12-31 | No data | 901 PONCE DE LEON BLVD, SUITE 204, CORAL GABLES, FL, 33134 |
| G21000028661 | ALURA BY INSPIRED LIVING | ACTIVE | 2021-03-01 | 2026-12-31 | No data | 901 PONCE DE LEON BLVD, SUITE 204, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-01 | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-01 | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-01 | ALBORNOZ, WILLIAM H, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-01 | 901 PONCE DE LEON BLVD., Suite 204, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-03-24 |
| Florida Limited Liability | 2016-09-16 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
