| Entity Name: | SILVER WINGS ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Oct 2020 (4 years ago) |
| Document Number: | L20000342489 |
| FEI/EIN Number | 85-3657139 |
| Address: | 12275 SW 187th Terrace, miami, FL 33177 |
| Mail Address: | 18230 MEDITERRANEAN BLVD, 1308, HIALEAH, FL 33015 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255909313 | 2021-06-15 | 2021-06-15 | 12275 SW 187TH TER, MIAMI, FL, 331773111, US | 12275 SW 187TH TER, MIAMI, FL, 331773111, US | |||||||||||||||||||||
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| Phone | +1 305-381-1092 |
| Fax | 3054686525 |
Authorized person
| Name | DIANELA CHEDEBEAU |
| Role | OWNER/ADMIN. |
| Phone | 3053181483 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13601 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHEDEBEAU, DIANELA | Agent | 18230 MEDITERRANEAN BLVD, 1308, HIALEAH, FL, FL 33015 |
| Name | Role | Address |
|---|---|---|
| CHEDEBEAU, DIANELA | Manager | 18230 MEDITERRANEAN BLVD 1308, HIALEAH, FL 33015 |
| ESTUPINAN, ROBERTO | Manager | 18230 MEDITERRANEAN BLVD 1308, HIALEAH, FL 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-04 | 12275 SW 187th Terrace, miami, FL 33177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-19 |
| AMENDED ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-02-14 |
| Florida Limited Liability | 2020-10-28 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
