| Entity Name: | ROYAL LIVING REST HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2000 (25 years ago) |
| Document Number: | P00000012608 |
| FEI/EIN Number | 650978031 |
| Address: | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| Mail Address: | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255534590 | 2007-06-06 | 2012-02-08 | 2926 SW 2ND ST, MIAMI, FL, 331351329, US | 2926 SW 2ND ST, MIAMI, FL, 331351329, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-649-7334 |
Authorized person
| Name | BARBARA PEREZ |
| Role | PRESIDENT |
| Phone | 3056497334 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 8886 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 8886 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140769400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ BARBARA | Agent | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ BARBARA | President | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ BARBARA | Secretary | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ BARBARA | Treasurer | 2926-28 SW 2ND STREET, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-18 | PEREZ, BARBARA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-18 | 2926-28 SW 2ND STREET, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2001-05-18 | 2926-28 SW 2ND STREET, MIAMI, FL 33125 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-05-18 | 2926-28 SW 2ND STREET, MIAMI, FL 33125 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2359047905 | 2020-06-11 | 0455 | PPP | 2926 SW 2ND ST, MIAMI, FL, 33135-1329 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
