| Entity Name: | ANA'S FAMILY HOME ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Jul 2021 (4 years ago) |
| Document Number: | P21000064446 |
| FEI/EIN Number | 87-2098039 |
| Address: | 11750 SW 192ND ST, MIAMI, FL 33177 |
| Mail Address: | 11750 SW 192ND ST, MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609536663 | 2021-12-17 | 2021-12-17 | 11750 SW 192ND ST, MIAMI, FL, 331773921, US | 11750 SW 192ND ST, MIAMI, FL, 331773921, US | |||||||||||||||||||||
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| Phone | +1 305-234-3568 |
| Fax | 3052354881 |
Authorized person
| Name | JESUS MARTINEZ |
| Role | OWNER/ADMIN |
| Phone | 3054576501 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 9779 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JESUS | Agent | 11750 SW 192ND ST, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, JESUS | President | 1871 BYBERRY DR, PEMBROKE PINES, FL 33024 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-08 |
| Domestic Profit | 2021-07-13 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
