| Entity Name: | ANGELICA HOME, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Feb 2022 (3 years ago) |
| Document Number: | P22000017934 |
| FEI/EIN Number | 88-1327213 |
| Address: | 10910 SW 52 DR, MIAMI, FL, 33165 |
| Mail Address: | 10910 SW 52 DR, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518665660 | 2023-02-17 | 2023-02-17 | 10910 SW 52ND DR, MIAMI, FL, 331656905, US | 10910 SW 52ND DR, MIAMI, FL, 331656905, US | |||||||||||||||||||||
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| Phone | +1 305-456-4864 |
| Fax | 3056461154 |
Authorized person
| Name | FRANK MARICHAL |
| Role | OWNER |
| Phone | 7863188953 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13775 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARICHAL FRANK | Agent | 10910 SW 52 DR, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| MARICHAL FRANK | President | 10910 SW 52 DR, MIAMI, FL, 33165 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-08 |
| Domestic Profit | 2022-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
