| Entity Name: | METAMORPHOSIS FOR LIFE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Dec 2002 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Feb 2019 (6 years ago) |
| Document Number: | P02000132467 |
| FEI/EIN Number | 050544185 |
| Address: | 3100 NW 170 STREET, MIAMI, FL, 33056, US |
| Mail Address: | 3100 NW 170 STREET, MIAMI, FL, 33056, US |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396499752 | 2022-02-04 | 2022-02-04 | 17130 NW 32ND AVE, MIAMI GARDENS, FL, 330564303, US | 3100 NW 170TH ST, MIAMI GARDENS, FL, 330564328, US | |||||||||||||||||||||
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| Phone | +1 305-345-7833 |
| Phone | +1 305-310-8450 |
| Fax | 3052591543 |
Authorized person
| Name | ARNOLD H. COATS |
| Role | GROUP HOME PROVIDER |
| Phone | 3053457833 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COATS ARNOLD H | Agent | 17130 NW 32ND AVENUE, MIAMI, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS JEANETTE M | Director | 3100 NW 170TH STREET, MIAMI, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| COATS ARNOLD H | President | 17130 NW 32ND AVENUE, MIAMI, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| COATS ARNOLD H | Treasurer | 17130 NW 32ND AVENUE, MIAMI, FL, 33056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-02-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-06-18 | COATS, ARNOLD H | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-18 | 17130 NW 32ND AVENUE, MIAMI, FL 33056 | No data |
| AMENDMENT | 2018-06-18 | No data | No data |
| AMENDMENT | 2018-05-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-07-11 | 3100 NW 170 STREET, MIAMI, FL 33056 | No data |
| CHANGE OF MAILING ADDRESS | 2003-07-11 | 3100 NW 170 STREET, MIAMI, FL 33056 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-21 |
| Amendment | 2019-02-26 |
| ANNUAL REPORT | 2019-01-27 |
| Amendment | 2018-06-18 |
| Amendment | 2018-05-14 |
| ANNUAL REPORT | 2018-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
