| Entity Name: | ALICE'S HOME, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 1997 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Aug 2022 (2 years ago) |
| Document Number: | P97000086726 |
| FEI/EIN Number | 650788734 |
| Address: | 12795 NW 10 LANE, MIAMI, FL, 33182 |
| Mail Address: | 12795 NW 10 LANE, MIAMI, FL, 33182 |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437313673 | 2008-07-16 | 2008-07-16 | 12795 NW 10TH LN, MIAMI, FL, 331821839, US | 12795 NW 10TH LN, MIAMI, FL, 331821839, US | |||||||||||||||||||||
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| Phone | +1 305-223-6443 |
Authorized person
| Name | MR. LUIS REYES |
| Role | PRESIDENT |
| Phone | 3059688802 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 677221800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENITEZ RUBEN | Agent | 12795 NW 10 LANE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| LAZO MILANKYS | Vice President | 12795 NW 10 LANE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| BENITEZ RUBEN | President | 12795 NW 10 LANE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-08-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-05 | BENITEZ, RUBEN | No data |
| AMENDMENT | 2022-03-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-11 |
| Amendment | 2022-08-05 |
| Amendment | 2022-03-17 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
