| Entity Name: | TONI MARY HOME ALF CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Apr 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Sep 2015 (9 years ago) |
| Document Number: | P14000033691 |
| FEI/EIN Number | 46-5421300 |
| Address: | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 |
| Mail Address: | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205233434 | 2014-12-03 | 2022-03-22 | 1662 SW ALVATON AVE, PORT ST LUCIE, FL, 349534700, US | 1662 SW ALVATON AVE, PORT ST LUCIE, FL, 349534700, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 772-985-0929 |
Authorized person
| Name | RAQUEL VELASQUEZ |
| Role | OWNER |
| Phone | 7729850929 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12845 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017757700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 111589400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Moreno, Guillermo | Agent | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| VELASQUEZ, RAQUEL | President | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| Moreno, Guillermo | Director | 1662 SW Alvaton Ave, Apt, suite, floor, etc. Port Saint Lucie, FL 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-26 | Moreno, Guillermo | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-17 | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-17 | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-17 | 1662 SW ALVATON AVE, PORT ST. LUCIE, FL 34953 | No data |
| AMENDMENT | 2015-09-10 | No data | No data |
| AMENDMENT | 2014-04-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-02-17 |
| Amendment | 2015-09-10 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
