| Entity Name: | ALBORADA HOME HEALTH AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jun 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000083215 |
| FEI/EIN Number | 205104463 |
| Address: | 953 SW 122 AVE, MIAMI, FL, 33184 |
| Mail Address: | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679632483 | 2006-12-07 | 2008-08-27 | 953 SW 122ND AVE, MIAMI, FL, 331842406, US | 953 SW 122ND AVE, MIAMI, FL, 331842406, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-559-1005 |
| Fax | 3055595303 |
Authorized person
| Name | LUZ C BORREGO |
| Role | PRESIDENT |
| Phone | 3055591005 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992579 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651500200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BORREGO LUZ D | Agent | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| BORREGO LUZ D | Director | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| BORREGO LUZ D | President | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| BORREGO LUZ D | Secretary | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| BORREGO LUZ D | Treasurer | 14257 SW 17TH STREET, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-10-02 |
| ANNUAL REPORT | 2008-03-03 |
| ANNUAL REPORT | 2007-04-18 |
| Domestic Profit | 2006-06-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
