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PARK PLACE ASSISTED LIVING, INC.

Company Details

Entity Name: PARK PLACE ASSISTED LIVING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 May 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 08 Nov 2019 (5 years ago)
Document Number: P11000042220
FEI/EIN Number 900714034
Address: 8200 SW 43RD TERRACE, MIAMI, FL, 33155, US
Mail Address: 8200 SW 43RD TERRACE, MIAMI, FL, 33155, US
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700167590 2011-09-07 2011-09-07 8200 SW 43RD TER, MIAMI, FL, 331554217, US 8200 SW 43RD TER, MIAMI, FL, 331554217, US

Contacts

Phone +1 305-207-5860

Authorized person

Name MS. ELAINE JAMILLE RODRIGUEZ
Role ADMINISTRATOR
Phone 3053704578

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
LBNS Agent 20301 West Country Club Drive, Aventura, FL, 33180

Vice President

Name Role Address
QUINTANA FERNANDO Vice President 8200 SW 43 TERR, MIAMI, FL, 33155

President

Name Role
ROCIO HEALTH MANAGEMENT, INC President

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-07 LBNS No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-14 20301 West Country Club Drive, Suite 526, Aventura, FL 33180 No data
AMENDMENT 2019-11-08 No data No data
AMENDMENT 2016-10-11 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-29
AMENDED ANNUAL REPORT 2023-06-21
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-02-14
AMENDED ANNUAL REPORT 2021-06-23
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-27
Amendment 2019-11-08
ANNUAL REPORT 2019-03-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State