| Entity Name: | NEW LIFE WELLNESS COMMUNITY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Aug 2019 (6 years ago) |
| Document Number: | L19000199231 |
| FEI/EIN Number | 84-2756423 |
| Address: | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 |
| Mail Address: | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780232876 | 2019-08-31 | 2023-09-29 | 6295 LAKE WORTH RD STE 19, GREENACRES, FL, 334633033, US | 6295 LAKE WORTH RD # 28-29, GREENACRES, FL, 334632909, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 786-930-0548 |
| Phone | +1 786-351-2230 |
Authorized person
| Name | YULAIKA LUGO |
| Role | OWNER |
| Phone | 7862394074 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108821800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 104190700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUGO, YULAIKA | Agent | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 |
| Name | Role | Address |
|---|---|---|
| LUGO , YULAIKA | President | 6295 LAKE WORTH RD., STE 28, STE 29 GREENACRES, FL 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-21 | LUGO, YULAIKA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-26 | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-26 | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-26 | 6295 LAKE WORTH RD., STE 28, STE 29, GREENACRES, FL 33463 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| AMENDED ANNUAL REPORT | 2023-09-18 |
| AMENDED ANNUAL REPORT | 2023-08-31 |
| AMENDED ANNUAL REPORT | 2023-08-21 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-26 |
| AMENDED ANNUAL REPORT | 2020-10-23 |
| ANNUAL REPORT | 2020-04-29 |
| Florida Limited Liability | 2019-08-05 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
