| Entity Name: | NUESTRA CASA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Aug 2007 (17 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P07000095849 |
| FEI/EIN Number | 26-0793092 |
| Address: | 1906 NORTH A STREET, LAKE WORTH, FL 33460 |
| Mail Address: | 1906 NORTH A STREET, LAKE WORTH, FL 33460 |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255757415 | 2014-03-12 | 2014-03-12 | 1906 N A ST, LAKE WORTH, FL, 334606002, US | 1906 N A ST, LAKE WORTH, FL, 334606002, US | |||||||||||||||||||||||
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| Phone | +1 561-252-6399 |
Authorized person
| Name | CONRADO BARRIO |
| Role | ADMINISTRATOR |
| Phone | 5612526399 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | AL11471 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008794500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ, TANIA | Agent | 1906 NORTH, LAKE WORTH, FL 33460 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, TANIA | President | 1906, NORTH A STREET LAKE WORTH, FL 33460 |
| Name | Role | Address |
|---|---|---|
| BARRIO, CONRADO | Vice President | 1906 NORTH A STREET, LAKE WORTH, FL 33460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| AMENDMENT | 2008-08-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-03-10 |
| ANNUAL REPORT | 2014-03-28 |
| ANNUAL REPORT | 2013-04-01 |
| ANNUAL REPORT | 2012-02-03 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
