| Entity Name: | YOU'RE AT HOME ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Aug 2019 (5 years ago) |
| Document Number: | P19000067820 |
| FEI/EIN Number | 84-2922221 |
| Address: | 901 N. HIAWASSEE ROAD, ORLANDO, FL, 32818, US |
| Mail Address: | 901 N. HIAWASSEE ROAD, ORLANDO, FL, 32818, US |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578136602 | 2021-07-16 | 2021-11-15 | 901 N HIAWASSEE RD, ORLANDO, FL, 328186708, US | 901 N HIAWASSEE RD, ORLANDO, FL, 328186708, US | |||||||||||||||||||||
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| Phone | +1 407-523-3000 |
| Fax | 4075233008 |
Authorized person
| Name | NOEL REPOLLO |
| Role | PRESIDENT |
| Phone | 3522177018 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111090400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REPOLLO NOEL | Agent | 2128 WOLF RIDGE LANE, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| REPOLLO NOEL | President | 2128 WOLF RIDGE LANE, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| REPOLLO JENNIFER | Vice President | 2128 WOLF RIDGE LANE, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| BALAJADIA ROSELLE | Secretary | 2132 WOLF RIDGE LANE, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| REPOLLO NELSON | Treasurer | 2149 WOLF RIDGE LANE, MOUNT DORA, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000108468 | THE ISLANDS ALF | ACTIVE | 2019-10-04 | 2029-12-31 | No data | 901 N HIAWASSEE ROAD, ORLANDO, FL, 32818 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-25 |
| Domestic Profit | 2019-08-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
