| Entity Name: | URSULA'S HAVEN ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Oct 2016 (8 years ago) |
| Document Number: | P16000083955 |
| FEI/EIN Number | 81-4172995 |
| Address: | 11900 NW 35TH STREET, SUNRISE, FL 33323 |
| Mail Address: | 11900 NW 35TH STREET, SUNRISE, FL 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255179685 | 2024-07-18 | 2024-07-18 | 10620 NW 32ND ST, SUNRISE, FL, 333516852, US | 10620 NW 32ND ST, SUNRISE, FL, 333516852, US | |||||||||||||||
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| Phone | +1 954-732-6246 |
| Fax | 9549908860 |
Authorized person
| Name | URSULA MARIA SCHMIEL-DEGAMA |
| Role | ADMINISTRATOR |
| Phone | 9546393611 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ARNETTE & ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SCHMIEL-DEGAMA, URSULA | President | 11900 NW 35TH STREET, SUNRISE, FL 33323 |
| Name | Role | Address |
|---|---|---|
| Degama, Benedict L | Vice President | 11900 NW 35TH STREET, SUNRISE, FL 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000135633 | URSULA'S HAVEN II ASSISTED LIVING FACILITY | ACTIVE | 2023-11-04 | 2028-12-31 | No data | 11900 NW 35TH STREET, SUNRISE, FL, 33323 |
| G23000029650 | URSULA'S HAVEN ASSISTED LIVING FACILITY | ACTIVE | 2023-03-04 | 2028-12-31 | No data | 11900 NW 35TH STREET, SUNRISE, FL, 33323 |
| G23000029651 | URSULA'S HAVEN ADULT CARE | ACTIVE | 2023-03-04 | 2028-12-31 | No data | 11900 NW 35TH STREET, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 1800 Corporate Blvd NW, Suite 310, Boca Raton, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-06-04 |
| Off/Dir Resignation | 2019-09-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-23 |
| Domestic Profit | 2016-10-17 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
