| Entity Name: | DIAZ HOME CARE ALF II INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 May 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | P09000040528 |
| FEI/EIN Number | 270155380 |
| Address: | 12211 SW 268 ST, HOMESTEAD, FL, 33032, US |
| Mail Address: | 12211 SW 268 ST, HOMESTEAD, FL, 33032, US |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306151071 | 2010-08-18 | 2020-07-31 | 12211 SW 268 STREET, HOMESTEAD, FL, 330327949, US | 12211 SW 268 STREET, HOMESTEAD, FL, 330327949, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-286-2826 |
| Fax | 7866017751 |
Authorized person
| Name | MR. JORGE GONGAR |
| Role | PRESIDENT |
| Phone | 7862826305 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11715 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11715 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018310400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONGAR JORGE | Agent | 12211 SW 268 ST, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| GONGAR JORGE | President | 12211 SW 268 ST, HOMESTEAD, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | GONGAR, JORGE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| AMENDMENT | 2021-01-04 | No data | No data |
| ARTICLES OF CORRECTION | 2020-08-17 | No data | No data |
| AMENDMENT | 2020-07-15 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-02 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-28 |
| Amendment | 2021-01-04 |
| Articles of Correction | 2020-08-17 |
| Amendment | 2020-07-15 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
