| Entity Name: | SUNSHINE HOME ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Aug 2003 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Sep 2019 (5 years ago) |
| Document Number: | P03000089469 |
| FEI/EIN Number | 270094217 |
| Address: | 4264 WEST 7 LANE, HIALEAH, FL, 33012, US |
| Mail Address: | 4264 WEST 7 LANE, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114230448 | 2010-07-15 | 2019-10-29 | 4264 WEST 7 LANE, HIALEAH, FL, 330123827, US | 4264 WEST 7 LANE, HIALEAH, FL, 330123827, US | |||||||||||||||||||||||||
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| Phone | +1 786-877-2745 |
| Fax | 3053971912 |
Authorized person
| Name | MR. MICHAEL PEREZ |
| Role | PRESIDENT |
| Phone | 7868772745 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10522 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142283900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ MICHAEL | Agent | 4264 WEST 7 LANE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| PEREZ MICHAEL | President | 4264 WEST 7 LANE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-09-09 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-23 | 4264 WEST 7 LANE, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-23 | PEREZ, MICHAEL | No data |
| AMENDMENT | 2018-10-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-23 | 4264 WEST 7 LANE, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-01 | 4264 WEST 7 LANE, HIALEAH, FL 33012 | No data |
| CANCEL ADM DISS/REV | 2005-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000474622 | TERMINATED | 1000000224071 | DADE | 2011-07-12 | 2031-08-03 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-03-11 |
| Amendment | 2019-09-09 |
| ANNUAL REPORT | 2019-03-26 |
| Amendment | 2018-10-23 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
