| Entity Name: | FIDELINA'S HOME, CO |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Mar 2009 (16 years ago) |
| Date of dissolution: | 23 Mar 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Mar 2012 (13 years ago) |
| Document Number: | P09000021529 |
| FEI/EIN Number | 264453617 |
| Address: | 10020 SW 55TH STREET, MIAMI, FL, 33165 |
| Mail Address: | 10020 SW 55TH STREET, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447582168 | 2010-02-05 | 2010-02-05 | 10020 SW 55TH ST, MIAMI, FL, 331657122, US | 10020 SW 55TH ST, MIAMI, FL, 331657122, US | |||||||||||||||||||||||||
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| Phone | +1 305-282-6970 |
| Fax | 3052232371 |
Authorized person
| Name | JOEL MONTANE |
| Role | OWNER |
| Phone | 3052826970 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11681 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001695600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MONTANE JOEL | Agent | 524 SW 68 AVE, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| MONTANE JOEL | President | 524 SW 68 AVE, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-23 |
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-04-28 |
| Domestic Profit | 2009-03-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
