| Entity Name: | NGM & SONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jul 2018 (7 years ago) |
| Document Number: | L18000177037 |
| FEI/EIN Number | 83-1361313 |
| Address: | 9670 134th Street N, Seminole, FL, 33776, US |
| Mail Address: | 9670 134th Street N, Seminole, FL, 33776, US |
| ZIP code: | 33776 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124649793 | 2020-05-05 | 2020-05-05 | 9670 134TH ST, SEMINOLE, FL, 337761447, US | 9670 134TH ST, SEMINOLE, FL, 337761447, US | |||||||||||||||||||||
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| Phone | +1 727-596-3266 |
| Fax | 7277547670 |
Authorized person
| Name | MR. ARMANDO E MORA JR. |
| Role | ADMINISTRATIVE OFFICER |
| Phone | 7272518291 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104316800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORA NICETAS G | Agent | 9670 134th Street N, Seminole, FL, 33776 |
| Name | Role | Address |
|---|---|---|
| Mora Nicetas G | Manager | 9670 134th Street N, Seminole, FL, 33776 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000000462 | THE DOLPHIN HOUSE, ALF | ACTIVE | 2024-01-03 | 2029-12-31 | No data | 9670 134TH STREET N, SEMINOLE, FL, 33776 |
| G19000069516 | THE DOLPHIN HOUSE ALF | EXPIRED | 2019-06-21 | 2024-12-31 | No data | 9670 134TH STREET NORTH, SEMINOLE, FL, 33776 |
| G18000129318 | DBA THE DOLPHIN HOUSE, ALF | EXPIRED | 2018-12-06 | 2023-12-31 | No data | 9670 134TH STREET N, SEMINOLE, FL, 33776 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-22 | 9670 134th Street N, Seminole, FL 33776 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-22 | 9670 134th Street N, Seminole, FL 33776 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-22 | 9670 134th Street N, Seminole, FL 33776 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-27 |
| Florida Limited Liability | 2018-07-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
