| Entity Name: | VICTORIA RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | P05000005454 |
| FEI/EIN Number | 202138127 |
| Address: | 3755 NW 13TH STREET, MIAMI, FL, 33126 |
| Mail Address: | 3755 NW 13TH STREET, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972705481 | 2007-06-05 | 2022-11-02 | 3755 NW 13TH STREET, MIAMI, FL, 331262622, US | 3755 NW 13TH STREET, MIAMI, FL, 331262622, US | |||||||||||||||||||||||||
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| Phone | +1 786-380-5798 |
| Fax | 3056462840 |
Authorized person
| Name | DANAIS PARDO |
| Role | PRESIDENT |
| Phone | 7863805798 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10733 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142524200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARDO DANAIS | Agent | 3755 NW 13TH STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| PARDO DANAIS | President | 3755 NW 13TH STREET, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-10-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-24 | PARDO, DANAIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-23 |
| Amendment | 2022-10-24 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
