| Entity Name: | AMERICAN DREAM ALF INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Aug 2021 (3 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 May 2022 (3 years ago) |
| Document Number: | P21000073719 |
| FEI/EIN Number | 87-2229268 |
| Address: | 4532 W KNOLLWOOD ST, TAMPA, FL, 33614, US |
| Mail Address: | 4532 W KNOLLWOOD ST, TAMPA, FL, 33614, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881398675 | 2023-03-28 | 2023-04-13 | 4532 W KNOLLWOOD ST, TAMPA, FL, 336143636, US | 4532 W KNOLLWOOD ST, TAMPA, FL, 336143636, US | |||||||||||||||||||||||||||
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| Phone | +1 786-419-8801 |
| Fax | 8132809418 |
| Phone | +1 786-441-9880 |
Authorized person
| Name | RUBEIDY PEREZ GARCIA |
| Role | ADMINISTRATOR |
| Phone | 7864198801 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117453800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ GARCIA RUBEIDY | Agent | 4532 W KNOLLWOOD ST, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| PEREZ GARCIA RUBEIDY | President | 4532 W KNOLLWOOD ST, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 4532 W KNOLLWOOD ST, TAMPA, FL 33614 | No data |
| AMENDMENT | 2022-05-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-25 | PEREZ GARCIA, RUBEIDY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-06-03 |
| Amendment | 2022-05-05 |
| ANNUAL REPORT | 2022-04-25 |
| Domestic Profit | 2021-08-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
