| Entity Name: | PRIMAVERA ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Mar 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Jun 2024 (8 months ago) |
| Document Number: | L24000135067 |
| FEI/EIN Number | 99-2119058 |
| Address: | 5301 SW 116 AVE, MIAMI, FL 33165 |
| Mail Address: | 5301 SW 116 AVE, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033943840 | 2024-08-26 | 2024-08-26 | 5301 SW 116TH AVE, MIAMI, FL, 331656827, US | 5301 SW 116TH AVE, MIAMI, FL, 331656827, US | |||||||||||||||||||||
|
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| Phone | +1 786-558-4619 |
| Fax | 7865584619 |
Authorized person
| Name | NORMA RODRIGUEZ SANDE |
| Role | OWNER |
| Phone | 7865584619 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 5165 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| rodriguez sande, norman | Agent | 5301 SW 116 AVE, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, NORMA | Authorized Member | 5301 SW 116 AVE, MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-06-14 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-06-14 |
| Florida Limited Liability | 2024-03-19 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
