| Entity Name: | TZURIEL ASSISTED LIVING FACILITY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Dec 2014 (10 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P14000097567 |
| FEI/EIN Number | 47-2603818 |
| Address: | 2710 NW 6TH ST, CAPE CORAL, FL, 33993, US |
| Mail Address: | 2710 NW 6TH ST, CAPE CORAL, FL, 33993 |
| ZIP code: | 33993 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962996918 | 2018-06-21 | 2018-06-21 | 2710 NW 6TH ST, CAPE CORAL, FL, 339937068, US | 2710 NW 6TH ST, CAPE CORAL, FL, 339937068, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 239-699-2045 |
| Fax | 2392829481 |
Authorized person
| Name | MS. YVONNE BAILEY |
| Role | ADMINISTRATOR |
| Phone | 2396992045 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023117100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS TATIKA D | Agent | 2710 NW 6TH ST, CAPE CORAL, FL, 33993 |
| Name | Role | Address |
|---|---|---|
| BAILEY YVONNE | President | 614 SE 7TH ST, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS TATIKA D | Vice President | 2710 NW 6TH ST, CAPE CORAL, FL, 33993 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-06 | 2710 NW 6TH ST, CAPE CORAL, FL 33993 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-06 | 2710 NW 6TH ST, CAPE CORAL, FL 33993 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-05-06 |
| Domestic Profit | 2014-12-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
