| Entity Name: | GENESIS COMMUNITY WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2020 (5 years ago) |
| Date of dissolution: | 03 Mar 2023 (2 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Mar 2023 (2 years ago) |
| Document Number: | L20000026588 |
| FEI/EIN Number | 84-4626287 |
| Address: | 3864 SW 137TH AVE, MIAMI, FL, 33175, US |
| Mail Address: | 3864 SW 137TH AVE, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720612997 | 2020-02-26 | 2020-02-26 | 2720 NW 167TH ST, MIAMI GARDENS, FL, 330546400, US | 2720 NW 167TH ST, MIAMI GARDENS, FL, 330546400, US | |||||||||||||
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| Phone | +1 305-318-7391 |
Authorized person
| Name | GENESIS ABREU ETTIENNE |
| Role | PRESIDENT |
| Phone | 3053187391 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRUZ ZAILYS | Agent | 3864 SW 137TH AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| CRUZ ZAILYS | Authorized Member | 3864 SW 137TH AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2023-03-03 | No data | No data |
| LC AMENDMENT | 2020-11-18 | No data | No data |
| LC AMENDMENT | 2020-05-27 | No data | No data |
| LC AMENDMENT | 2020-05-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-15 | 3864 SW 137TH AVE, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-15 | 3864 SW 137TH AVE, MIAMI, FL 33175 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-15 | CRUZ, ZAILYS | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2023-03-03 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-03-04 |
| LC Amendment | 2020-11-18 |
| LC Amendment | 2020-05-27 |
| LC Amendment | 2020-05-15 |
| Florida Limited Liability | 2020-01-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
