| Entity Name: | HOLY FAMILY GROUP HOME ALF, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Apr 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Mar 2014 (11 years ago) |
| Document Number: | P11000040003 |
| FEI/EIN Number | 38-3839392 |
| Address: | 920 SW 93RD AVE, MIAMI, FL 33174 |
| Mail Address: | 920 SW 93RD AVE, MIAMI, FL 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942549530 | 2013-02-03 | 2013-02-03 | 920 SW 93RD AVE, MIAMI, FL, 331743157, US | 920 SW 93RD AVE, MIAMI, FL, 331743157, US | |||||||||||||||||||||||
|
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| Phone | +1 305-562-0615 |
Authorized person
| Name | PEDRO HERNANDEZ |
| Role | PRESIDENT |
| Phone | 3055620615 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12282 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007273200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, PEDRO | Agent | 920 SW 93RD AVE, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, PEDRO | President | 920 SW 93RD AVE, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, RAYLE | Vice President | 920 SW 93RD AVE, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, RAYLE | Director | 920 SW 93RD AVE, MIAMI, FL 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-03-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2012-06-18 | HOLY FAMILY GROUP HOME ALF, INC | No data |
| REGISTERED AGENT NAME CHANGED | 2012-06-18 | HERNANDEZ, PEDRO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
