| Entity Name: | AVE FENIX ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 May 2021 (4 years ago) |
| Document Number: | L21000229915 |
| FEI/EIN Number | 87-1452680 |
| Address: | 10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189 |
| Mail Address: | 10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189 |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316728983 | 2023-10-10 | 2023-10-10 | 10120 CARIBBEAN BLVD, CUTLER BAY, FL, 331891526, US | 10120 CARIBBEAN BLVD, CUTLER BAY, FL, 331891526, US | |||||||||||||||||||||
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| Phone | +1 786-250-4456 |
| Fax | 7862504456 |
Authorized person
| Name | NURYS ALFONSO NARANJO |
| Role | OWNER/ADMIN. |
| Phone | 7867151839 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13833 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Valdes, Edgardo Arturo, Dr. | Agent | 10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189 |
| Name | Role | Address |
|---|---|---|
| VALDES, EDGARDO A | Authorized Member | 10120 CARIBBEAN BVLD, CUTLER BAY, FL 33189 |
| Name | Role | Address |
|---|---|---|
| ALFONSO NARANJO, NURYS | Manager | 10120 CARIBBEAN BLVD, CUTLER BAY, FL 33189 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-10 | Valdes, Edgardo Arturo, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-03-21 |
| Florida Limited Liability | 2021-05-18 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
