| Entity Name: | VILLA'S ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jan 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Oct 2018 (6 years ago) |
| Document Number: | P14000008595 |
| FEI/EIN Number | 46-4670554 |
| Address: | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Mail Address: | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801202130 | 2014-07-08 | 2022-07-01 | 4534 HAMPSHIRE RD, TAMPA, FL, 33634, US | 4534 HAMPSHIRE RD, TAMPA, FL, 33634, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-505-5564 |
| Fax | 8134432239 |
Authorized person
| Name | SONIA M VILLANUEVA |
| Role | CEO/ADMINISTRATOR |
| Phone | 8132709354 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11889 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013230400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Martinez Morera, Yasleidy | Agent | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| Martinez Morera, Yasleidy | Director | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| Martinez Morera, Yasleidy | President | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| Martinez Morera, Yasleidy | Secretary | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| Martinez Morera, Yasleidy | Treasurer | 4534 HAMPSHIRE RD, TAMPA, FL 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-08-01 | 4534 HAMPSHIRE RD, TAMPA, FL 33634 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-08-01 | Martinez Morera, Yasleidy | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-08-01 | 4534 HAMPSHIRE RD, TAMPA, FL 33634 | No data |
| AMENDMENT | 2018-10-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-01-06 |
| AMENDED ANNUAL REPORT | 2019-08-01 |
| ANNUAL REPORT | 2019-03-19 |
| Amendment | 2018-10-16 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-16 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
