| Entity Name: | BLUE SKY GROUP HOME, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Oct 2004 (20 years ago) |
| Document Number: | P04000142595 |
| FEI/EIN Number | 20-1869813 |
| Address: | 11000 S.W. 142ND PLACE, MIAMI, FL 33186 |
| Mail Address: | 11000 S.W. 142ND PLACE, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205028305 | 2007-08-13 | 2007-08-13 | 11000 SW 142ND PL, MIAMI, FL, 331867011, US | 11000 SW 142ND PL, MIAMI, FL, 331867011, US | |||||||||||||||||||
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| Phone | +1 786-316-3419 |
| Fax | 3055953679 |
Authorized person
| Name | MR. MEDARDO GOMEZ |
| Role | PRESIDENT, OWNER |
| Phone | 7863163419 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10892 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MEDARDO | Agent | 11000 S.W. 142ND PLACE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MEDARDO | Director | 11000 S.W. 142ND PLACE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MEDARDO | President | 11000 S.W. 142ND PLACE, MIAMI, FL 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2005-03-09 | GOMEZ, MEDARDO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-01 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
