| Entity Name: | LAKEVIEW HEALTH SYSTEMS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Mar 2001 (24 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Oct 2024 (4 months ago) |
| Document Number: | L01000004777 |
| FEI/EIN Number | 651100767 |
| Address: | 1900 Corporate Square Blvd., Jacksonville, FL, 32216, US |
| Mail Address: | 642 South Military Trail, Deerfield Beach, FL, 33442, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760548184 | 2006-12-29 | 2023-04-19 | 1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL, 322161941, US | 1900 CORPORATE SQUARE CT., JACKSONVILLE, FL, 32216, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 904-513-5830 |
| Fax | 8663712833 |
| Phone | +1 904-727-6455 |
| Fax | 9048994514 |
Authorized person
| Name | DONNA MOEN |
| Role | CHIEF COMPLIANCE OFFICER |
| Phone | 8436874329 |
Taxonomy
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 0416AD076701 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA - RESIDENTIAL TREATMENT FACILITY LEVEL II EATING DISORDER TREATMENT |
| Number | 8757 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Johnson Phillip C | Agent | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Kircher III Robert E | Chairman | 642 South Military Trail, Deerfield Beach, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| Stevens Jamie | Chief Executive Officer | 642 South Military Trail, Deerfield Beach, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| Johnson Phillip C | Chief Financial Officer | 642 S Military TRL, Deerfield Beach, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| Leong Franklin | Auth | 642 South Military Trail, Deerfield Beach, FL, 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000154669 | KORU SPRING | ACTIVE | 2022-12-15 | 2027-12-31 | No data | 1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL, 32216 |
| G08357900294 | WOMEN'S CENTER FOR HEATHLY LIVING | EXPIRED | 2008-12-22 | 2013-12-31 | No data | 2701 GATEWAY DRIVE, SUITE 1, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-13 | Johnson, Phillip Clay | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-10 | 1900 Corporate Square Blvd., Jacksonville, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-20 | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL 33324 | No data |
| LC AMENDMENT | 2016-12-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-05-07 | 1900 Corporate Square Blvd., Jacksonville, FL 32216 | No data |
| LC AMENDMENT | 2012-12-26 | No data | No data |
| REINSTATEMENT | 2002-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-18 |
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-03 |
| AMENDED ANNUAL REPORT | 2019-05-20 |
| ANNUAL REPORT | 2019-02-20 |
| AMENDED ANNUAL REPORT | 2018-08-10 |
| ANNUAL REPORT | 2018-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
