| Entity Name: | NUEVA VIDA #1, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P05000100323 |
| FEI/EIN Number | 061751810 |
| Address: | 745 NW 102 STREET, MIAMI, FL, 33150 |
| Mail Address: | 745 NW 102 STREET, MIAMI, FL, 33150 |
| ZIP code: | 33150 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083825137 | 2007-05-24 | 2008-07-22 | 745 NW 102ND ST, MIAMI, FL, 331501338, US | 745 NW 102 ST, MIAMI, FL, 331501338, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-444-8788 |
| Fax | 3057511831 |
Authorized person
| Name | ARTURO HERNANDEZ |
| Role | PRESIDENT |
| Phone | 7863460676 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10840 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 10840 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142676100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ARTURO | Agent | 745 NW 102 STREET, MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ARTURO | President | 745 NW 102 STREET, MIAMI, FL, 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-02-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2007-08-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-08-03 | HERNANDEZ, ARTURO | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000207251 | ACTIVE | 1000000257602 | DADE | 2012-03-12 | 2032-03-21 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2009-09-29 |
| REINSTATEMENT | 2008-02-19 |
| Amendment | 2007-08-03 |
| ANNUAL REPORT | 2006-10-02 |
| Domestic Profit | 2005-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
