| Entity Name: | NUESTRA CASA II, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Feb 2011 (14 years ago) |
| Document Number: | P11000018409 |
| FEI/EIN Number | 27-5124707 |
| Address: | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 |
| Mail Address: | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568889467 | 2014-03-28 | 2014-03-28 | 2832 GIULIANO AVE, LAKE WORTH, FL, 334613725, US | 2832 GIULIANO AVE, LAKE WORTH, FL, 334613725, 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 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008794800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ, TANIA | Agent | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, TANIA | President | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 |
| Name | Role | Address |
|---|---|---|
| BARRIO, CONRADO | Vice President | 2832 GIULIANO AVENUE, LAKE WORT, FL 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-12 | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-12 | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-12 | 2832 GIULIANO AVENUE, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-02-02 |
| 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 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
