| Entity Name: | CRESTA COMFORT LIVING, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Feb 2008 (17 years ago) |
| Date of dissolution: | 15 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Jun 2020 (5 years ago) |
| Document Number: | P08000015572 |
| FEI/EIN Number | 262002835 |
| Address: | 18610 NW 21 AVE, MIAMI GARDENS, FL, 33056 |
| Mail Address: | 18610 NW 21 AVE, MIAMI GARDENS, FL, 33056 |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295975647 | 2009-02-25 | 2009-02-25 | 18610 NW 21ST AVE, MIAMI GARDENS, FL, 330562704, US | 18610 NW 21ST AVE, MIAMI GARDENS, FL, 330562704, US | |||||||||||||||||||||||||
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| Phone | +1 305-624-5969 |
| Fax | 3056238859 |
Authorized person
| Name | JUNIE V HORNE |
| Role | ADMINISTRATOR/OWNER |
| Phone | 3056245969 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11445 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000463300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HORNE JUNIE V | Agent | 18610 NW 21 AVE, MIAMI GARDENS, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| HORNE JUNIE V | President | 18610 NW 21 AVE, MIAMI GARDENS, FL, 33056 |
| Name | Role | Address |
|---|---|---|
| HORNE JOSEPH A | Vice President | 18610 NW 21 AVE, MIAMI GARDENS, FL, 33056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-26 | 18610 NW 21 AVE, MIAMI GARDENS, FL 33056 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-15 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
