| Entity Name: | THE NEGRIN HOME INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Mar 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Jul 2024 (7 months ago) |
| Document Number: | P20000020320 |
| FEI/EIN Number | 84-5014049 |
| Address: | 11631 SW 100 ST, MIAMI, FL, 33176 |
| Mail Address: | 11631 SW 100 ST, MIAMI, FL, 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457025389 | 2021-08-04 | 2021-08-04 | 11631 SW 100TH ST, MIAMI, FL, 331762521, US | 11631 SW 100TH ST, MIAMI, FL, 331762521, US | |||||||||||||||||||
|
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| Phone | +1 305-962-3048 |
Authorized person
| Name | JOSE RAUL NEGRIN |
| Role | OWNER |
| Phone | 3055868947 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110507900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEGRIN JOSE R | Agent | 11631 SW 100 ST, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| NEGRIN JOSE R | Secretary | 11631 SW 100 ST, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| NEGRIN LISSETTE MARIA | President | 11631 SW 100 ST, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-07-19 | No data | No data |
| AMENDMENT | 2024-07-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-10 | 11631 SW 100 ST, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-10 | 11631 SW 100 ST, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-10 | 11631 SW 100 ST, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| Amendment | 2024-07-19 |
| Amendment | 2024-07-10 |
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-15 |
| Domestic Profit | 2020-03-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
