| Entity Name: | CRUZ FAMILY HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Mar 2022 (3 years ago) |
| Document Number: | L20000189673 |
| FEI/EIN Number | 88-1081431 |
| Address: | 3037 SW 17 ST., MIAMI, FL, 33145 |
| Mail Address: | 3037 SW 17 ST., MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538864681 | 2023-03-30 | 2023-03-30 | 3037 SW 17TH ST, MIAMI, FL, 331451909, US | 3037 SW 17TH ST, MIAMI, FL, 331451909, US | |||||||||||||||||||||
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| Phone | +1 786-536-9797 |
| Fax | 3053811636 |
Authorized person
| Name | YOANA LLANES |
| Role | OWNER/ADMIN. |
| Phone | 7864069359 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13782 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRUZ ROBERTO | Agent | 14930 SW 59 ST., MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| LLANES YOANA | Authorized Manager | 3037 SW 17 ST., MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-16 | 3037 SW 17 ST., MIAMI, FL 33145 | No data |
| REINSTATEMENT | 2022-03-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-08 | CRUZ, ROBERTO | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-16 |
| AMENDED ANNUAL REPORT | 2022-04-15 |
| REINSTATEMENT | 2022-03-08 |
| Florida Limited Liability | 2020-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
