| Entity Name: | 9400 SW 137TH AVENUE OPERATIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2018 (7 years ago) |
| Last Event: | LC STMNT CORR |
| Event Date Filed: | 17 Aug 2018 (6 years ago) |
| Document Number: | L18000124522 |
| FEI/EIN Number | 83-0821846 |
| Mail Address: | 5901 NW 79TH AVE, TAMARAC, FL, 33321-4639, US |
| Address: | 9400 SW 137th Avenue, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922592773 | 2018-06-15 | 2024-09-13 | 9400 SW 137TH AVE, MIAMI, FL, 331861434, US | 9400 SW 137TH AVE, MIAMI, FL, 33186, US | |||||||||||||||||||||||
|
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| Phone | +1 305-385-8290 |
| Fax | 3053884060 |
| Phone | +1 407-571-1550 |
Authorized person
| Name | MIRIAM C. PASTOR |
| Role | MANAGER |
| Phone | 8137696280 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102679900 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| PASTOR MIRIAM | Manager | 5901 NW 79TH AVE, TAMARAC, FL, 333214639 |
| Name | Role |
|---|---|
| MLNM MASTER TENANT, LLC | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000073291 | NSPIRE HEALTHCARE KENDALL | ACTIVE | 2018-07-02 | 2028-12-31 | No data | 5901 NW 79TH AVE, TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 9400 SW 137th Avenue, MIAMI, FL 33186 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-20 | 9400 SW 137th Avenue, MIAMI, FL 33186 | No data |
| LC STMNT CORR | 2018-08-17 | No data | No data |
| LC AMENDMENT | 2018-06-28 | No data | No data |
| LC AMENDMENT | 2018-05-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-24 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-24 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-02-15 |
| CORLCSTCOR | 2018-08-17 |
| LC Amendment | 2018-06-28 |
| LC Amendment | 2018-05-24 |
| Florida Limited Liability | 2018-05-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
