| Entity Name: | VILLA SERENA IV, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Jun 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Feb 2011 (14 years ago) |
| Document Number: | P05000088020 |
| FEI/EIN Number | 20-4409548 |
| Address: | 754-756 NW 22nd Court, Miami, FL 33125 |
| Mail Address: | 754-756 NW 22nd Court, Miami, FL 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306102926 | 2012-04-09 | 2020-04-22 | 754 NW 22ND CT, MIAMI, FL, 331253309, US | 754 NW 22ND CT, MIAMI, FL, 331253309, US | |||||||||||||||||||||||||
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| Phone | +1 305-206-5342 |
| Fax | 3056680346 |
Authorized person
| Name | ROXANA SOLANO |
| Role | OWNER |
| Phone | 3052407131 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10868 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142653200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Munoz, Santos Rafael | Agent | 754-756 NW 22nd Court, Miami, FL 33125 |
| Name | Role | Address |
|---|---|---|
| SOLANO, ROXANA | President | 754-756 NW 22nd Court, Miami, FL 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-20 | 754-756 NW 22nd Court, Miami, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-03 | Munoz, Santos Rafael | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-15 | 754-756 NW 22nd Court, Miami, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-15 | 754-756 NW 22nd Court, Miami, FL 33125 | No data |
| AMENDMENT | 2011-02-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
