| Entity Name: | ANDALUSIA A. L. F. INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 11 Jul 2006 (19 years ago) |
| Document Number: | P05000112395 |
| FEI/EIN Number | 203302496 |
| Address: | 360 EAST 65 STREET, HIALEAH, FL, 33013, US |
| Mail Address: | 360 EAST 65 STREET, HIALEAH, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083821466 | 2007-05-16 | 2024-11-04 | 360 EAST 65 STREET, HIALEAH, FL, 33013, US | 360 EAST 65 STREET, HIALEAH, FL, 33013, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-456-4111 |
| Fax | 3054564111 |
Authorized person
| Name | EDDY SARDUY SANTOS |
| Role | OWNER |
| Phone | 7863332573 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10771 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142631100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SARDUY SANTOS EDDY | Agent | 360 EAST 65 STREET, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| SARDUY SANTOS EDDY | President | 360 EAST 65 STREET, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | SARDUY SANTOS, EDDY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-25 | 360 EAST 65 STREET, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-25 | 360 EAST 65 STREET, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-25 | 360 EAST 65 STREET, HIALEAH, FL 33013 | No data |
| AMENDMENT | 2006-07-11 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-11 |
| AMENDED ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2024-01-05 |
| AMENDED ANNUAL REPORT | 2023-12-20 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-25 |
| AMENDED ANNUAL REPORT | 2021-11-05 |
| AMENDED ANNUAL REPORT | 2021-08-03 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
