Entity Name: | PARAISO ALF, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Apr 2019 (6 years ago) |
Document Number: | L19000103429 |
FEI/EIN Number | 84-1817141 |
Address: | 4500 SW 114TH CT, MIAMI, FL 33165 |
Mail Address: | 4500 SW 114TH CT, MIAMI, FL 33165 |
ZIP code: | 33165 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295355121 | 2020-04-21 | 2020-04-21 | 4500 SW 114TH CT, MIAMI, FL, 331655524, US | 4500 SW 114TH CT, MIAMI, FL, 331655524, US | |||||||||||||||||||
|
Phone | +1 786-399-9877 |
Authorized person
Name | MR. DUANY HERNANDEZ |
Role | PRESIDENT |
Phone | 7863999877 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 13394 |
State | FL |
Name | Role | Address |
---|---|---|
HERNANDEZ, DUANY | Agent | 4500 SW 114TH CT, MIAMI, FL 33165 |
Name | Role | Address |
---|---|---|
HERNANDEZ, DUANY | Authorized Member | 4500 SW 114TH CT, MIAMI, FL 33165 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2020-06-03 | HERNANDEZ, DUANY | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-01-26 |
ANNUAL REPORT | 2022-04-29 |
ANNUAL REPORT | 2021-04-02 |
ANNUAL REPORT | 2020-06-03 |
Florida Limited Liability | 2019-04-23 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State