| Entity Name: | A PARADISE HOME ALF II , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Dec 2016 (8 years ago) |
| Document Number: | L16000223038 |
| FEI/EIN Number | 81-5061627 |
| Address: | 438 MACY STREET, WEST PALM BEACH, FL 33405 |
| Mail Address: | 438 MACY STREET, WEST PALM BEACH, FL 33405 |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255864302 | 2017-04-05 | 2017-04-05 | 438 MACY ST, WEST PALM BEACH, FL, 334054423, US | 438 MACY ST, WEST PALM BEACH, FL, 334054423, US | |||||||||||||||||||||||||
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| Phone | +1 561-586-7500 |
| Fax | 5615867500 |
Authorized person
| Name | MRS. USHINA PEREZ |
| Role | OWNER/ADMINITRATOR |
| Phone | 5615867500 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12990 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008752700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, USHINA | Agent | 438 MACY STREET, WEST PALM BEACH, FL 33405 |
| Name | Role | Address |
|---|---|---|
| Perez, Ushina | Authorized Member | 438 MACY STREET, WEST PALM BEACH, FL 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-04-26 | PEREZ, USHINA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-26 |
| Florida Limited Liability | 2016-12-09 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
