| Entity Name: | ORTA'S HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Feb 1997 (28 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Sep 2020 (4 years ago) |
| Document Number: | P97000018086 |
| FEI/EIN Number | 650752478 |
| Address: | 1201 N.W. 35TH AVE., MIAMI, FL, 33125 |
| Mail Address: | 1201 N.W. 35TH AVENUE, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043479140 | 2008-06-03 | 2020-03-13 | 1201 NW 35TH AVENUE, MIAMI, FL, 331252855, US | 1201 NW 35TH AVENUE, MIAMI, FL, 331252855, US | |||||||||||||||||||||||||
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| Phone | +1 786-515-7715 |
| Fax | 3052623844 |
Authorized person
| Name | MRS. ANA CECILIA HERNANDEZ |
| Role | PRESIDENT |
| Phone | 7865157715 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6905079 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001054500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ANA CECILIA | Agent | 1201 N.W. 35TH AVENUE, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ANA CECILIA | President | 1201 N.W. 35TH AVENUE, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-09-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-09-01 | 1201 N.W. 35TH AVENUE, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-01 | 1201 N.W. 35TH AVE., MIAMI, FL 33125 | No data |
| AMENDMENT | 2020-03-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-05 | HERNANDEZ, ANA CECILIA | No data |
| REINSTATEMENT | 2014-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2006-02-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-25 |
| Amendment | 2020-09-01 |
| ANNUAL REPORT | 2020-06-29 |
| Amendment | 2020-03-05 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-07-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
