| Entity Name: | PARADISE RETIREMENT CLUB INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Apr 1991 (34 years ago) |
| Document Number: | S46622 |
| FEI/EIN Number | 650278353 |
| Address: | 21 S. W. 75TH AVENUE, MIAMI, FL, 33144 |
| Mail Address: | 21 S. W. 75TH AVENUE, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538479696 | 2010-10-07 | 2010-10-07 | 21 SW 75TH AVE, MIAMI, FL, 331442417, US | 21 SW 75TH AVE, MIAMI, FL, 331442417, US | |||||||||||||||||||||||
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| Phone | +1 305-264-2051 |
Authorized person
| Name | MRS. IRVIN E ANDUJAR |
| Role | ADMINISTRATOR |
| Phone | 3052642051 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5902 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140728700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOORE, IRMA A. | Agent | 6740 SW 32 ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MOORE, IRMA A. | President | 6740 SW 32 ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MOORE, IRMA A. | Director | 6740 SW 32 ST, MIAMI, FL, 33155 |
| ANDUJAR, IRVIN | Director | 6294 SW 41 ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| ANDUJAR, IRVIN | Vice President | 6294 SW 41 ST, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| MOORE JORGE | Secretary | 124-57 135 PL, S ORANGE PARK, NY, 11420 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2000-07-24 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
