| Entity Name: | WEST MIAMI ADULT LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WEST MIAMI ADULT LIVING FACILITY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Jul 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | P05000105199 |
| FEI/EIN Number |
203261583
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7215 SW 21 ST, MIAMI, FL, 33155 |
| Mail Address: | 7215 SW 21 ST, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871749077 | 2008-08-07 | 2008-08-07 | 7215 SW 21ST ST, MIAMI, FL, 331551472, US | 7215 SW 21ST ST, MIAMI, FL, 331551472, US | |||||||||||||||||||||||||
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| Phone | +1 305-300-7721 |
| Fax | 3052232371 |
Authorized person
| Name | BELKIS VILLALBA |
| Role | OWNER/ADMINISTRATOR |
| Phone | 3053007721 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10925 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142758000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILLALBA BELKIS | Treasurer | 7215 SW 21 ST, MIAMI, FL, 33155 |
| VILLALBA BELKIS | Agent | 7215 SW 21 ST, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REINSTATEMENT | 2018-01-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-08-11 | VILLALBA, BELKIS | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-20 | 7215 SW 21 ST, MIAMI, FL 33155 | - |
| CHANGE OF MAILING ADDRESS | 2009-02-14 | 7215 SW 21 ST, MIAMI, FL 33155 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-31 | 7215 SW 21 ST, MIAMI, FL 33155 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000055907 | ACTIVE | 1000000911761 | DADE | 2021-12-30 | 2032-02-02 | $ 1,100.49 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J19000715621 | ACTIVE | 1000000845689 | MIAMI-DADE | 2019-10-28 | 2029-10-30 | $ 835.88 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J14000503846 | TERMINATED | 1000000603390 | DADE | 2014-03-26 | 2024-05-01 | $ 1,247.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J13001614602 | TERMINATED | 1000000504604 | MIAMI-DADE | 2013-11-04 | 2023-11-07 | $ 476.84 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J11000463765 | TERMINATED | 1000000221696 | DADE | 2011-06-24 | 2031-08-03 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-03-17 |
| REINSTATEMENT | 2018-01-12 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| AMENDED ANNUAL REPORT | 2014-08-11 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-20 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
