| Entity Name: | HEALTH SHINE ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Dec 2023 (a year ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2024 (4 months ago) |
| Document Number: | L23000560168 |
| FEI/EIN Number | 99-0485422 |
| Address: | 2481 SW 145 AVE, MIAMI, FL 33175 |
| Mail Address: | 2481 SW 145 AVE, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316789209 | 2024-06-11 | 2024-06-11 | 2481 SW 145TH AVE, MIAMI, FL, 331757476, US | 2481 SW 145TH AVE, MIAMI, FL, 331757476, US | |||||||||||||||||||||
|
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| Phone | +1 786-536-2235 |
| Fax | 7865362331 |
Authorized person
| Name | IVET DEL VALLE |
| Role | OWNER/ADMIN |
| Phone | 7865362235 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13634 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEL VALLE, IVET | Agent | 2481 SW 145 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| DEL VALLE, IVET | Authorized Member | 2481 SW 145 AVE, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-08 | DEL VALLE, IVET | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-08 |
| Florida Limited Liability | 2023-12-21 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
