| Entity Name: | RESIDENCIA SALOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Mar 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Nov 2020 (4 years ago) |
| Document Number: | P01000029232 |
| FEI/EIN Number | 651088868 |
| Address: | 3525 S.W. 130TH AVENUE, MIAMI, FL, 33175, US |
| Mail Address: | 3525 S.W. 130TH AVENUE, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336202431 | 2006-12-19 | 2011-11-30 | 3525 SW 130TH AVE, MIAMI, FL, 331752819, US | 3525 SW 130TH AVE, MIAMI, FL, 331752819, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-804-5888 |
Authorized person
| Name | MRS. YANELIS ALEGRE |
| Role | ADMINISTRATOR |
| Phone | 3058045888 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10094 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 688311700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 142130100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA KIRENIA | Agent | 3525 S.W. 130TH AVENUE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GARCIA KIRENIA | President | 3525 SW 130 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GARCIA KIRENIA | Treasurer | 3525 SW 130 AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-11-03 | No data | No data |
| AMENDMENT | 2020-01-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-09 | GARCIA, KIRENIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-09 | 3525 S.W. 130TH AVENUE, MIAMI, FL 33175 | No data |
| AMENDMENT | 2003-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000231715 | TERMINATED | 1000000259807 | DADE | 2012-03-20 | 2022-03-28 | $ 850.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-05 |
| Amendment | 2020-11-03 |
| ANNUAL REPORT | 2020-06-07 |
| Amendment | 2020-01-09 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
