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WELCOME HOME, ASSISTED LIVING FACILITY, LLC

Company Details

Entity Name: WELCOME HOME, ASSISTED LIVING FACILITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Jan 2017 (8 years ago)
Document Number: L17000023527
FEI/EIN Number 82-0612207
Address: 1387 SAN CORTEZ AVE., NE, PALM BAY, FL, 32907, US
Mail Address: 1387 SAN CORTEZ AVE., NE, PALM BAY, FL, 32907, US
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811483290 2018-07-09 2018-07-09 1387 SAN CORTEZ AVE NE, PALM BAY, FL, 329071118, US 1387 SAN CORTEZ AVE NE, PALM BAY, FL, 329071118, US

Contacts

Phone +1 321-914-8172

Authorized person

Name SUSAN MARINO
Role ADMINISTRATOR
Phone 3219148172

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
MARINO SUSAN P Agent 7568 Tourmaline Drive, Grant-, FL, 32949

Administrator

Name Role Address
MARINO SUSAN P Administrator 7568 Tourmaline Dr, Grant, FL, 32949

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-10 7568 Tourmaline Drive, Grant-, FL 32949 No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-07-25
ANNUAL REPORT 2019-08-15
ANNUAL REPORT 2018-03-15
Florida Limited Liability 2017-01-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State