| Entity Name: | BELLAGIO PALMS ALF II INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Dec 2020 (4 years ago) |
| Document Number: | P21000000573 |
| FEI/EIN Number | 861317339 |
| Address: | 800 NW 133RD AVE, MIAMI, FL, 33182, US |
| Mail Address: | 800 NW 133RD AVE, MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760052955 | 2021-06-29 | 2021-06-29 | 21 NW 133RD PL, MIAMI, FL, 331821642, US | 21 NW 133RD PL, MIAMI, FL, 331821642, US | |||||||||||||||||||
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| Phone | +1 305-988-0659 |
Authorized person
| Name | MRS. GRETTELL LOPEZ |
| Role | OWNER |
| Phone | 3059880659 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110775300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ GRETTELL | Agent | 800 NW 133RD AVE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| LOPEZ GRETTELL | President | 800 NW 133RD AVE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-24 | 800 NW 133RD AVE, MIAMI, FL 33182 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-24 | 800 NW 133RD AVE, MIAMI, FL 33182 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-24 | 800 NW 133RD AVE, MIAMI, FL 33182 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-06 |
| Domestic Profit | 2020-12-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
