| Entity Name: | HEAVEN ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Oct 2019 (5 years ago) |
| Document Number: | P07000004472 |
| FEI/EIN Number | 208368650 |
| Address: | 30136 SW 148 PL, HOMESTEAD, FL, 33033, US |
| Mail Address: | 30136 SW 148 PL, HOMESTEAD, FL, 33033, US |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417135765 | 2008-02-07 | 2008-02-07 | 30136 SW 148TH PL, HOMESTEAD, FL, 330333835, US | 30136 SW 148TH PL, HOMESTEAD, FL, 330333835, US | |||||||||||||||||
|
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| Phone | +1 305-245-2290 |
Authorized person
| Name | JUANA MARIA PACHECO |
| Role | ADMINISTRATOR |
| Phone | 7862631274 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11193 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ DANNY | Agent | 30136 SW 148PL, HOMESTEAD, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ DANNY | President | 30136 SW 148 PL, HOMESTEAD, FL, 33033 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-10-09 | No data | No data |
| AMENDMENT | 2019-08-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-13 | HERNANDEZ, DANNY | No data |
| AMENDMENT | 2019-03-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-12 | 30136 SW 148 PL, HOMESTEAD, FL 33033 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-12 | 30136 SW 148 PL, HOMESTEAD, FL 33033 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-12 | 30136 SW 148PL, HOMESTEAD, FL 33033 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-03-09 |
| Amendment | 2019-10-09 |
| Amendment | 2019-08-05 |
| Amendment | 2019-03-13 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
