| Entity Name: | ANGELS FOR LIFE HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Oct 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000219185 |
| Address: | 11365 SW 160TH PL, MIAMI, FL, 33196, US |
| Mail Address: | 11365 SW 160TH PL, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568974962 | 2017-10-26 | 2017-10-26 | 11365 SW 160TH PL, MIAMI, FL, 331964281, US | 11365 SW 160TH PL, MIAMI, FL, 331964281, US | |||||||||||||||||||||||
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| Phone | +1 786-312-0173 |
| Phone | +1 786-452-7723 |
Authorized person
| Name | MRS. MARIANGEL ELIZABETH FEITO |
| Role | PRESIDENT/MANAGER |
| Phone | 7864527723 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018464800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TUMBACO ROXANA M | Agent | 2719 HOLLYWOOD BOULEVARD 237, HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| FEITO MARIANGEL E | Manager | 11365 SW 160TH PL, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-10-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
