| Entity Name: | VALDES RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Apr 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Aug 2017 (7 years ago) |
| Document Number: | P04000068711 |
| FEI/EIN Number | 010812445 |
| Address: | 8100 SW 95 CT, MIAMI, FL, 33173, US |
| Mail Address: | 8100 SW 95TH COURT, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790996734 | 2007-05-24 | 2023-03-15 | 8100 SW 95TH CT, MIAMI, FL, 331733358, US | 8100 SW 95TH CT, MIAMI, FL, 331733358, US | |||||||||||||||||||||||||
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| Phone | +1 305-589-4488 |
| Fax | 3052521699 |
Authorized person
| Name | MARCOS VALDES |
| Role | OWNER |
| Phone | 7869725612 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10070 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142209000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDES MARCOS | Agent | 8100 SW 95 CT, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| VALDES MARCOS | President | 8100 SW 95 CT, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-07 | 8100 SW 95 CT, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-09 | VALDES, MARCOS | No data |
| AMENDMENT | 2017-08-18 | No data | No data |
| AMENDMENT | 2017-06-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-12 | 8100 SW 95 CT, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2005-05-06 | 8100 SW 95 CT, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-09 |
| Amendment | 2017-08-18 |
| Amendment | 2017-06-08 |
| ANNUAL REPORT | 2017-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
