| Entity Name: | ADAMS RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 May 1997 (28 years ago) |
| Document Number: | P97000041848 |
| FEI/EIN Number | 650754939 |
| Address: | 401 PENNSYLVANIA AVE, FT LAUDERDALE, FL, 33312 |
| Mail Address: | 401 PENNSYLVANIA AVE, FT LAUDERDALE, FL, 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699907279 | 2009-08-17 | 2009-08-17 | 401 PENNSYLVANIA AVE, FORT LAUDERDALE, FL, 333121836, US | 401 PENNSYLVANIA AVE, FORT LAUDERDALE, FL, 333121836, US | |||||||||||||||||||||||
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| Phone | +1 954-316-2525 |
Authorized person
| Name | MAE ADAMS |
| Role | ADMINISTRATOR |
| Phone | 9543162525 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9053 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | AL9053 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ADAMS MAE V | Agent | 401 PENNSYLVANIA AVE, FT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ADAMS MAE V | Vice President | 4806 NW 14th Street, Coconut Creek, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| ADAMS CLINTON | President | 4806 NW 14th Street, Coconut Creek, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-11 | ADAMS, MAE V. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
