Contact
Provider ID
20240626-000235522-8f8b-50450e646b3e
Email
fiorellap@ccaeagles.org
Phone
+1 9542800840
Created At
Jun 25, 2024 05:02 PM PT
Address Line 1
8822 NW 56th St
Address City
Coral Springs
Address State
Florida
Postal Code
33067
Preferred Hosting Timeline
immediate
Status Expiry Date
May 21, 2025 05:00 PM PT
Vetting Steps
-
Application
approved
-
Training
approved
-
Bank Info
approved
-
Tax Info
approved
-
Home Inspection
approved
-
Background Checks
approved [exp 2025-05-22]
Resident 1
Full Name
Fiorella Pena
Email
fiorellap@ccaeagles.org
Date of Birth
07-15-1976 (49 yrs)
Gender
Female
ID Verification
skipped
Background Check
cleared
BG Check Date
2024-05-22
BG Check Expiry
May 21, 2025 05:00 PM PT
Source
manual
Verification State
deprecated
Resident 2
Full Name
Jose Pena
Email
jhp327@msn.com
Date of Birth
07-15-1976 (49 yrs)
Gender
Male
ID Verification
skipped
Background Check
cleared
BG Check Date
2024-05-22
BG Check Expiry
May 21, 2025 05:00 PM PT
Source
manual
Verification State
current
Resident 3
Full Name
Fiorella Pena
Email
fiorellap@ccaeagles.org
Date of Birth
09-29-1981 (44 yrs)
Gender
Female
ID Verification
not_started
Background Check
not_started
Source
none
Verification State
current