| Entity Name: | CUTLER BAY GROUP HOME, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 2008 (17 years ago) |
| Document Number: | P08000029765 |
| FEI/EIN Number | 262246890 |
| Address: | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| Mail Address: | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366759490 | 2010-09-10 | 2010-09-10 | 10471 SW 204TH TER, CUTLER BAY, FL, 331891350, US | 10471 SW 204TH TER, CUTLER BAY, FL, 331891350, US | |||||||||||||||||||||||
|
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| Phone | +1 305-278-2816 |
Authorized person
| Name | MRS. SARAH MARIA NAVARRO-CARTAYA |
| Role | ADMINISTRATOR |
| Phone | 3052782816 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | 000227200 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000227200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIAZ SARA | Agent | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| Name | Role | Address |
|---|---|---|
| DIAZ SARA | Director | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| Name | Role | Address |
|---|---|---|
| DIAZ SARA | President | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| Name | Role | Address |
|---|---|---|
| DIAZ SARA | Secretary | 10471 SW 204 TER, CUTLER BAY, FL, 33189 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000119325 | CUTLER BAY | EXPIRED | 2010-12-29 | 2015-12-31 | No data | 10471 SW 204 TERR, CUTLER BAY, FL, 33189 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
