| Entity Name: | MIRACLES OF LIFE AT CUTLER BAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Nov 2011 (13 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 24 Feb 2012 (13 years ago) |
| Document Number: | N11000010771 |
| FEI/EIN Number | 45-4633719 |
| Address: | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Mail Address: | 15051 SW 152nd TER, MIAMI, FL 33187 |
| ZIP code: | 33187 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770192569 | 2020-07-28 | 2022-07-09 | 10994 SW 184TH ST., CUTLER BAY, FL, 331576615, US | 10994 SW 184TH ST., CUTLER BAY, FL, 331576615, US | |||||||||||||||||||||
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| Phone | +1 305-964-5530 |
| Fax | 3052903384 |
Authorized person
| Name | ARNALDO RAFAEL ZAMORA OBREGON |
| Role | CEO |
| Phone | 3059645530 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111926100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAMORA OBREGON, ARNALDO RAFAEL | Agent | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, JORGE L | President | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| ZAMORA OBREGON, ARNALDO RAFAEL | Chief Executive Officer | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| SARMIENTO, BARBARA | Vice President | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| SARMIENTO, BARBARA | Chairman | 15051 SW 152nd TER, MIAMI, FL 33187 |
| ZAMORA OBREGON, ARNALDO RAFAEL | Chairman | 15051 SW 152nd TER, MIAMI, FL 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 15051 SW 152nd TER, MIAMI, FL 33187 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-04 | 15051 SW 152nd TER, MIAMI, FL 33187 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-04 | 15051 SW 152nd TER, MIAMI, FL 33187 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-12 | ZAMORA OBREGON, ARNALDO RAFAEL | No data |
| AMENDMENT | 2012-02-24 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2012-02-24 | MIRACLES OF LIFE AT CUTLER BAY, INC. | No data |
| AMENDMENT | 2011-12-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-24 |
| AMENDED ANNUAL REPORT | 2022-05-12 |
| ANNUAL REPORT | 2022-03-10 |
| AMENDED ANNUAL REPORT | 2021-07-13 |
| ANNUAL REPORT | 2021-05-22 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-13 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
