| Entity Name: | CORNELL ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 2005 (20 years ago) |
| Document Number: | P05000099473 |
| FEI/EIN Number | 721603970 |
| Address: | 581 CENTRAL BOULEVARD, MIAMI, FL, 33144, US |
| Mail Address: | 581 CENTRAL BOULEVARD, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073768677 | 2008-11-24 | 2008-11-24 | 581-583 CENTRAL BOULEVARD, MIAMI, FL, 33144, US | 581-583 CENTRAL BOULEVARD, MIAMI, FL, 33144, US | |||||||||||||||||||||||||
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| Phone | +1 305-801-1162 |
| Fax | 3052072379 |
Authorized person
| Name | MR. RUBEN B PLAZA |
| Role | PRESIDENT |
| Phone | 3058011162 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10755 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142517000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLAZA RUBEN B | Agent | 581-583 CENTRAL BOULEVARD, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| PLAZA RUBEN B | President | 581-583 CENTRAL BOULEVARD, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-08 | 581 CENTRAL BOULEVARD, #583, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-08 | 581 CENTRAL BOULEVARD, #583, MIAMI, FL 33144 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-19 | PLAZA, RUBEN B | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
