| Entity Name: | GENESIS ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Nov 2021 (3 years ago) |
| Document Number: | L21000476512 |
| FEI/EIN Number | 87-3461362 |
| Address: | 4416 W 10th LN, HIALEAH, FL, 33012, US |
| Mail Address: | 4416 W 10th LN, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992452031 | 2022-03-08 | 2022-03-08 | 4183 E 8TH CT, HIALEAH, FL, 330132401, US | 4183 E 8TH CT, HIALEAH, FL, 330132401, US | |||||||||||||||||||||
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| Phone | +1 305-953-4056 |
| Fax | 7868038455 |
Authorized person
| Name | DAYANA DELGADO |
| Role | OWNER |
| Phone | 3057130491 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 9693 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELGADO DAYANA | Agent | 4416 W 10th LN, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| DELGADO DAYANA | Authorized Member | 4416 W 10th LN, HIALEAH, FL, 33012 |
| FERRER MICHAEL | Authorized Member | 4416 W 10th LN, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 4416 W 10th LN, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-15 | 4416 W 10th LN, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-15 | 4416 W 10th LN, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-02-03 |
| Florida Limited Liability | 2021-11-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
