| Entity Name: | ST. JOSEPH RESIDENCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 Sep 1987 (37 years ago) |
| Document Number: | N22491 |
| FEI/EIN Number | 650032474 |
| Address: | 3485 N.W. 30TH STREET, LAUDERDALE LAKES, FL, 33311, US |
| Mail Address: | 3485 N.W. 30TH STREET, LAUDERDALE LAKES, FL, 33311, US |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538531447 | 2015-10-30 | 2015-10-30 | 3485 NW 30TH ST, LAUDERDALE LAKES, FL, 333111890, US | 3485 NW 30TH ST, LAUDERDALE LAKES, FL, 333111890, US | |||||||||||||||||||
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| Phone | +1 954-739-1483 |
| Fax | 9544853952 |
Authorized person
| Name | JAMIE BONAVITA-RHODES |
| Role | ADMINISTRATOR |
| Phone | 9547391483 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7380 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FITZGERALD J. PATRICK Esq. | Agent | J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LAWSON RALPH E | Chairman | 6041 NW 74 Terrace, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| LAWSON RALPH E | Director | 6041 NW 74 Terrace, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| FITZGERALD J. PATRICK SR. | Assistant Secretary | J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| FRICK MARY JO CEO | President | CATHOLIC HEALTH SERVICES, INC., LAUDERDALE LAKES, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| WORLEY, SSJ ELIZABETH ASR. | VCSD | ARCHDIOCESE OF MIAMI, MIAMI SHORES, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2016-03-29 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
