| Entity Name: | LEGACY ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Mar 2021 (4 years ago) |
| Document Number: | L20000386387 |
| FEI/EIN Number | 85-4348572 |
| Address: | 13232 NW 9 LANE, MIAMI, FL, 33182, US |
| Mail Address: | 13232 NW 9 LANE, MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194309955 | 2021-05-07 | 2023-12-13 | 13232 NW 9 LANE, MIAMI, FL, 33182, US | 13232 NW 9 LANE, MIAMI, FL, 33182, US | |||||||||||||||||||||
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| Phone | +1 786-542-6081 |
| Fax | 7865426081 |
Authorized person
| Name | MARCOS N MOLINA |
| Role | OWNER |
| Phone | 7864869365 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 8807 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Molina Marcos N | Agent | 13232 NW 9 LANE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| Molina Marcos N | Authorized Member | 13232 NW 9 LANE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-02 | Molina, Marcos N | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-18 | 13232 NW 9 LANE, MIAMI, FL 33182 | No data |
| LC AMENDMENT | 2021-03-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| AMENDED ANNUAL REPORT | 2023-10-05 |
| AMENDED ANNUAL REPORT | 2023-08-02 |
| ANNUAL REPORT | 2023-01-09 |
| AMENDED ANNUAL REPORT | 2022-08-01 |
| AMENDED ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2022-03-14 |
| LC Amendment | 2021-03-29 |
| ANNUAL REPORT | 2021-03-25 |
| Florida Limited Liability | 2020-12-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
