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BLUE LAGOON GROUP HOME INC.

Company Details

Entity Name: BLUE LAGOON GROUP HOME INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 12 Mar 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Aug 2019 (5 years ago)
Document Number: N13000002377
FEI/EIN Number 46-2322325
Address: 21100 NW 28 CT, MIAMI GARDENS, FL, 33056
Mail Address: 21100 NW 28 CT, MIAMI GARDENS, FL, 33056
ZIP code: 33056
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700208378 2014-01-15 2018-06-20 21100 NW 28TH CT, MIAMI GARDENS, FL, 330561105, US 21100 NW 28TH CT, MIAMI GARDENS, FL, 330561105, US

Contacts

Phone +1 786-657-7205

Authorized person

Name MS. EUGENIA SANTANA
Role ADMINISTRATOR
Phone 7866577205

Taxonomy

Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
State FL
Is Primary Yes

Agent

Name Role Address
SANTANA EUGENIA Agent 21100 NW 28 CT, MIAMI GARDENS, FL, 33056

President

Name Role Address
SANTANA EUGENIA President 21100 NW 28 CT, MIAMI GARDENS, FL, 33056

Events

Event Type Filed Date Value Description
AMENDMENT 2019-08-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-18
AMENDED ANNUAL REPORT 2023-04-26
AMENDED ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2023-01-19
AMENDED ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2022-02-03
AMENDED ANNUAL REPORT 2021-11-04
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-08
Amendment 2019-08-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State