| Entity Name: | LIFE RESIDENTIAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Apr 2018 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000085816 |
| FEI/EIN Number | 82-5121341 |
| Address: | 13431 SW 178 ST., MIAMI, FL, 33177, US |
| Mail Address: | 13431 SW 178 ST., MIAMI, FL, 33177, US |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811473317 | 2018-07-17 | 2019-12-20 | 13431 S.W. 178 ST., MIAMI, FL, 33177, US | 13431 S.W. 178 ST., MIAMI, FL, 33177, US | |||||||||||||||||||||||||
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| Phone | +1 305-971-3628 |
| Fax | 3056023165 |
Authorized person
| Name | SINDY LEYRAS CASTRO |
| Role | OWNER |
| Phone | 7863220603 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11001 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100350200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEYRAS CASTRO SINDY | Agent | 13431 S.W. 178 ST., MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| LEYRAS CASTRO SINDY | Manager | 13431 S.W. 178 ST., MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-18 | LEYRAS CASTRO, SINDY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-18 | 13431 S.W. 178 ST., MIAMI, FL 33177 | No data |
| LC AMENDMENT | 2018-05-07 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2019-11-27 |
| AMENDED ANNUAL REPORT | 2019-10-18 |
| ANNUAL REPORT | 2019-04-17 |
| LC Amendment | 2018-05-07 |
| Florida Limited Liability | 2018-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
