| Entity Name: | ALF SEVILLA HOME CARE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Nov 2001 (23 years ago) |
| Document Number: | P01000108704 |
| FEI/EIN Number | 651154792 |
| Address: | 10844 S.W. 154TH TERRACE, MIAMI, FL, 33157 |
| Mail Address: | 10844 S.W. 154TH TERRACE, MIAMI, FL, 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104087329 | 2008-06-19 | 2008-06-19 | 10844 SW 154TH TER, MIAMI, FL, 331571335, US | 10844 SW 154TH TER, MIAMI, FL, 331571335, US | |||||||||||||||||||||||||
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| Phone | +1 786-573-3111 |
| Fax | 3054851035 |
Authorized person
| Name | MR. LAZARO HERRERA |
| Role | PRESIDENT |
| Phone | 7865733111 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10152 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 141717700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERRERA LAZARO | Agent | 10844 S.W. 154TH TERRACE, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| HERRERA LAZARO | President | 10844 sw 154 terrace, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| HERRERA LAZARO | Director | 10844 sw 154 terrace, MIAMI, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
