| Entity Name: | TGL RESIDENCE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jan 1997 (28 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Jan 2017 (8 years ago) |
| Document Number: | P97000007584 |
| FEI/EIN Number | 650721677 |
| Address: | 3210 SW 104 CT., MIAMI, FL, 33165, US |
| Mail Address: | 3210 SW 104 CT., MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689885725 | 2007-05-24 | 2016-02-04 | 3210 SW 104TH CT, MIAMI, FL, 331653712, US | 3210 SW 104TH CT, MIAMI, FL, 331653712, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-559-5917 |
| Fax | 3052251289 |
Authorized person
| Name | DORIS TORRES |
| Role | ADMINISTRATOR |
| Phone | 3055595917 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL 5959 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 684140600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 141078400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOTO ARIEL | Agent | 3210 SW 104 CT., MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| Soto Garcia Ariel | Director | 3210 SW 104 CT., MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-01-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-17 | SOTO, ARIEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-23 | 3210 SW 104 CT., MIAMI, FL 33165 | No data |
| AMENDMENT | 1997-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-14 |
| Amendment | 2017-01-17 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
