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URSULA'S HAVEN ASSISTED LIVING FACILITY, INC. - Florida Company Profile

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Company Details

Entity Name: URSULA'S HAVEN ASSISTED LIVING FACILITY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Oct 2016 (9 years ago)
Document Number: P16000083955
FEI/EIN Number 81-4172995
Address: 11900 NW 35TH STREET, SUNRISE, FL, 33323, US
Mail Address: 11900 NW 35TH STREET, SUNRISE, FL, 33323, US
ZIP code: 33323
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SCHMIEL-DEGAMA URSULA President 11900 NW 35TH STREET, SUNRISE, FL, 33323
Degama Benedict L Vice President 11900 NW 35TH STREET, SUNRISE, FL, 33323
ARNETTE & ASSOCIATES, INC Agent 1800 Corporate Blvd NW, Boca Raton, FL, 33431

National Provider Identifier

NPI Number:
1255179685
Certification Date:
2024-07-18

Authorized Person:

Name:
URSULA MARIA SCHMIEL-DEGAMA
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
9549908860

Fictitious Names

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 - 11900 NW 35TH STREET, SUNRISE, FL, 33323
G23000029650 URSULA'S HAVEN ASSISTED LIVING FACILITY ACTIVE 2023-03-04 2028-12-31 - 11900 NW 35TH STREET, SUNRISE, FL, 33323
G23000029651 URSULA'S HAVEN ADULT CARE ACTIVE 2023-03-04 2028-12-31 - 11900 NW 35TH STREET, SUNRISE, FL, 33323

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 1800 Corporate Blvd NW, Suite 310, Boca Raton, FL 33431 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
33800.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State