| Entity Name: | GENA'S RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Jul 1991 (34 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Nov 2022 (2 years ago) |
| Document Number: | S64287 |
| FEI/EIN Number | 65-0271504 |
| Address: | 575 NW 118 AVE, PLANTATION, FL 33325 |
| Mail Address: | 575 NW 118 AVE, PLANTATION, FL 33325 |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710314331 | 2013-09-27 | 2013-09-27 | 2233 NW 56TH AVE, LAUDERHILL, FL, 333133003, US | 2233 NW 56 AVE, LAUDERHILL, FL, 33313, US | |||||||||||||||||||||||||||
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| Phone | +1 954-733-9614 |
| Fax | 9547339614 |
| Phone | +1 954-452-4416 |
Authorized person
| Name | MRS. GENA ACKBERSINGH |
| Role | PRESIDENT |
| Phone | 9544524416 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 4973 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140321400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALLSWORTH, E. SCOTT ESQ | Agent | 1177 SE THIRD AVE, FT LAUDERDALE, FL 33316-1197 |
| Name | Role | Address |
|---|---|---|
| ACKBERSINGH, ALYSON | Secretary | 575 NW 118 AVENUE, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| ACKBERSINGH, ASHLEY | Treasurer | 575 NW 118 AVENUE, PLANTATION, FL 33325 |
| Name | Role | Address |
|---|---|---|
| ACKBERSINGH, GENA | President | 575 NW 118 AVE., PLANTATION, FL 33325 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000095660 | DESOTO MANOR | EXPIRED | 2014-09-18 | 2024-12-31 | No data | 575 N.W. 118TH AVE., PLANTATION, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-11-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-15 | 575 NW 118 AVE, PLANTATION, FL 33325 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-15 | 575 NW 118 AVE, PLANTATION, FL 33325 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-13 |
| Amendment | 2022-11-30 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
