| Entity Name: | SANTA CLARA ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Nov 1999 (25 years ago) |
| Date of dissolution: | 26 Jan 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jan 2016 (9 years ago) |
| Document Number: | P99000099178 |
| FEI/EIN Number | 650962498 |
| Address: | 2830 SW 106 AVE, MIAMI, FL, 33165 |
| Mail Address: | 6120 NW 2ND STREET, MIAMI, FL, 33126 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730246927 | 2007-01-03 | 2012-03-21 | 6120 NW 2ND ST, MIAMI, FL, 331264604, US | 2830 SW 106TH AVE, MIAMI, FL, 331652748, US | |||||||||||||||||||||||||
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| Fax | 7865135928 |
| Phone | +1 305-221-9955 |
Authorized person
| Name | MR. RENE BATLE |
| Role | OWNER & ADMINISTRATOR |
| Phone | 3052162638 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9834 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142293600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BATLE RENE | Agent | 6120 N.W. 2ND STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| BATLE RENE | President | 6120 N.W. 2ND. STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| BATLE RENE | Secretary | 6120 N.W. 2ND. STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| BATLE RENE | Director | 6120 N.W. 2ND. STREET, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-03 | 2830 SW 106 AVE, MIAMI, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-06-30 | 6120 N.W. 2ND STREET, MIAMI, FL 33126 | No data |
| AMENDMENT | 2004-11-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-11-23 | BATLE, RENE | No data |
| AMENDMENT | 2004-11-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-02-18 | 2830 SW 106 AVE, MIAMI, FL 33165 | No data |
| AMENDMENT | 2001-08-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-26 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-02-20 |
| ANNUAL REPORT | 2013-03-23 |
| ANNUAL REPORT | 2012-02-28 |
| ANNUAL REPORT | 2011-03-03 |
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-02-25 |
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
