| Entity Name: | SUNNY HILLS ALF OF HOMESTEAD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 May 2013 (12 years ago) |
| Document Number: | P13000042303 |
| FEI/EIN Number | 46-2757801 |
| Address: | 25268 SW 134TH AVENUE, MIAMI, FL, 33032 |
| Mail Address: | 20 Surfside Rd, Humacao, OC, 00791, US |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689003394 | 2013-11-03 | 2013-11-03 | 25268 SW 134TH AVE, HOMESTEAD, FL, 330325619, US | 25268 SW 134TH AVE, HOMESTEAD, FL, 330325619, US | |||||||||||||||||||||||||
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| Phone | +1 305-258-2222 |
| Fax | 8633829715 |
Authorized person
| Name | MRS. KATELYNN DARLENE HOLTON |
| Role | RISK MANAGER |
| Phone | 8632456681 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10203 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002714200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLS FREDERICK JESQ. | Agent | 1200 W. PLATT STREET, SUITE 100, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| LOWRY ROBERT P | President | 20 Surfside Rd, Humacao, OC, 00791 |
| Name | Role | Address |
|---|---|---|
| LOWRY ROBERT P | Secretary | 20 Surfside Rd, Humacao, OC, 00791 |
| Name | Role | Address |
|---|---|---|
| LOWRY ROBERT P | Treasurer | 20 Surfside Rd, Humacao, OC, 00791 |
| Name | Role | Address |
|---|---|---|
| LOWRY ROBERT P | Director | 20 Surfside Rd, Humacao, OC, 00791 |
| Name | Role | Address |
|---|---|---|
| LOWRY ROBERT L | Vice President | 500 LENTZ LANDING LANE, NEBO, NC, 28761 |
| Lowry Robert DRobert | Vice President | 20 Surfside Road, Humacao, Pr, 00791 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-04-12 | 25268 SW 134TH AVENUE, MIAMI, FL 33032 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-07-16 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
