| Entity Name: | ALDERSGATE RETIREMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jul 2003 (22 years ago) |
| Document Number: | N03000005728 |
| FEI/EIN Number | 16-1676095 |
| Address: | 5300 W 16TH AVENUE, HIALEAH, FL 33012 |
| Mail Address: | PO BOX 22617, HIALEAH, FL 33002 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225450604 | 2014-01-20 | 2014-01-20 | 5300 W 16TH AVE, HIALEAH, FL, 330122104, US | 5300 W 16TH AVE, HIALEAH, FL, 330122104, US | |||||||||||||||||||||||||
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| Phone | +1 305-556-3500 |
| Fax | 3058211407 |
Authorized person
| Name | MR. WILLIAM CONOL |
| Role | ACCOUNTING DIRECTOR |
| Phone | 3055563500 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5839 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003136100 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DUNAJ, MICHELLE | Director | PO BOX 22617, HIALEAH, FL 33002 |
| VELASCO, RUBEN | Director | PO BOX 22617, HIALEAH, FL 33002 |
| WARREN, AUDREY | Director | PO BOX 22617, HIALEAH, FL 33002 |
| STEWART, GERTRUDE | Director | PO BOX 22617, HIALEAH, FL 33002 |
| PIERRE-OKERSON, MARIE JUDITH | Director | PO BOX 22617, HIALEAH, FL 33002 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000034119 | EPWORTH VILLAGE HOME CARE | EXPIRED | 2018-03-13 | 2023-12-31 | No data | 5300 WEST 16TH AVENUE, HIALEAH, FL, 33012 |
| G09000151512 | EPWORTH VILLAGE RETIREMENT COMMUNITY | EXPIRED | 2009-09-01 | 2024-12-31 | No data | 5300 W. 16TH AVE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-12-08 | 5300 W 16TH AVENUE, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-08 | NRAI SERVICES, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-07-15 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-21 | 5300 W 16TH AVENUE, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| AMENDED ANNUAL REPORT | 2023-12-08 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-26 |
| AMENDED ANNUAL REPORT | 2020-10-06 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-02 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
