| Entity Name: | RESIDENCIA SAN LAZARO HOME CARE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jun 1995 (30 years ago) |
| Date of dissolution: | 23 Jul 2020 (5 years ago) |
| Last Event: | VOL DISSOLUTION OF INACTIVE CORP |
| Event Date Filed: | 23 Jul 2020 (5 years ago) |
| Document Number: | P95000043022 |
| FEI/EIN Number | 65-0604396 |
| Address: | 7120 S.W. 92NMD AVE., MIAMI, FL 33173 |
| Mail Address: | 7120 S.W. 92NMD AVE., MIAMI, FL 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770793846 | 2007-05-23 | 2008-12-11 | 7520 SW 92 AVE, MIAMI, FL, 33173, US | 7520 SW 92 AVE, MIAMI, FL, 33173, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-598-2554 |
| Fax | 3055982554 |
Authorized person
| Name | ELVIRA RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 3057936523 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL 8454 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140766000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 680730500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALLARD, DANIEL A | Agent | 7120 S.W. 92ND ST., MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ELVIRA | Secretary | 7120 S.W. 92NMD AVE., MIAMI, FL 33173 |
| Name | Role | Address |
|---|---|---|
| ALLARD, DANILO A | President | 7120 S.W. 92NMD AVE., MIAMI, FL 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOL DISSOLUTION OF INACTIVE CORP | 2020-07-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-12 | 7120 S.W. 92ND ST., MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-12 | ALLARD, DANIEL A | No data |
| AMENDMENT | 2018-07-12 | No data | No data |
| AMENDMENT | 2010-03-15 | No data | No data |
| AMENDMENT | 2010-01-07 | No data | No data |
| AMENDMENT | 2004-05-21 | No data | No data |
| AMENDMENT | 2000-11-22 | No data | No data |
| AMENDMENT | 2000-05-23 | No data | No data |
| Name | Date |
|---|---|
| Vol. Diss. of Inactive Corp. | 2020-07-23 |
| Amendment | 2018-07-12 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-26 |
| Off/Dir Resignation | 2016-12-12 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
