| Entity Name: | BELLA ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jun 2021 (4 years ago) |
| Document Number: | L21000278006 |
| FEI/EIN Number | 87-1225500 |
| Address: | 17783 SW 145TH AVE, MIAMI, FL 33177 |
| Mail Address: | 17783 SW 145TH AVE, MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437818259 | 2021-12-08 | 2023-06-22 | 17783 S.W. 145TH AVE., MIAMI, FL, 331772695, US | 17783 S.W. 145TH AVE., MIAMI, FL, 331772695, US | |||||||||||||||||||||
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| Phone | +1 786-478-6992 |
| Fax | 7864786992 |
Authorized person
| Name | LILIANNY PUERTAS ORTEGA |
| Role | OWNER |
| Phone | 3059242425 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0000000000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PUERTAS ORTEGA, LILIANNY | Agent | 17783 SW 145TH AVE, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| CHINEA, OMAR MODESTO | Managing Member | 17783 SW 145TH AVE, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| Puertas Ortega, Lilianny | Manager | 17783 SW 145TH AVE, MIAMI, FL 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-05-26 | PUERTAS ORTEGA, LILIANNY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-03-18 |
| AMENDED ANNUAL REPORT | 2023-05-26 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-06-15 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
