| Entity Name: | ALFA NURSING SERVICES INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 May 2017 (8 years ago) |
| Document Number: | P17000040676 |
| FEI/EIN Number | 82-0648425 |
| Address: | 1500 NW 89th CT, STE 205, DORAL, FL 33172 |
| Mail Address: | 1500 NW 89th CT, STE 205, DORAL, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578274494 | 2022-12-12 | 2022-12-12 | 1500 NW 89TH CT STE 205, DORAL, FL, 331722645, US | 1500 NW 89TH CT STE 205, DORAL, FL, 331722645, US | |||||||||||||||||||
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| Phone | +1 786-703-7876 |
Authorized person
| Name | WIDIER F RODRIGUEZ |
| Role | ADMINISTRATOR |
| Phone | 7867037876 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101481000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VARELA, IDANIA L | Agent | 1500 NW 89th CT, STE 205, DORAL, FL 33166 |
| Name | Role | Address |
|---|---|---|
| HOLGUIN ESCOBAR, LORENZO | PRESIDENT | 1500 NW 89TH CT, STE 205 DORAL, FL 33172 |
| Name | Role | Address |
|---|---|---|
| LEON, NICOLE | Vice President | 1500 NW 89 CT, STE 205 DORAL, FL 33172 |
| Name | Role | Address |
|---|---|---|
| JANET L , GONZALEZ | Treasurer | 1500 NW 89th CT, STE 205 DORAL, FL 33172 |
| Name | Role | Address |
|---|---|---|
| IDANIA , VARELA | Director | 1500 NW 89th CT, STE 205 DORAL, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-16 | 1500 NW 89th CT, STE 205, DORAL, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-16 | 1500 NW 89th CT, STE 205, DORAL, FL 33172 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-19 | 1500 NW 89th CT, STE 205, DORAL, FL 33166 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-11-26 | VARELA, IDANIA L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-08 |
| AMENDED ANNUAL REPORT | 2022-04-19 |
| AMENDED ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2022-03-17 |
| AMENDED ANNUAL REPORT | 2021-09-15 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-04-10 |
| AMENDED ANNUAL REPORT | 2019-10-08 |
| ANNUAL REPORT | 2019-03-12 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
