| Entity Name: | BOYS TOWN NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 31 Oct 2003 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Mar 2008 (17 years ago) |
| Document Number: | N03000009658 |
| FEI/EIN Number |
200655144
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL, 32303, US |
| Mail Address: | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL, 32303, US |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285711960 | 2006-11-01 | 2019-03-01 | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL, 323033119, US | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL, 323033119, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-575-6422 |
| Fax | 8505757158 |
Authorized person
| Name | MR. MARCUS LAMPKIN |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8505045017 |
Taxonomy
| Taxonomy Code | 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | 0700-01-06 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 055046901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 055046904 |
| State | FL |
| Issuer | MEDICAID |
| Number | 004546400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0550469-01 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0550469-04 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bryan Sheri | Director | 3555 Commonwealth Boulevard, Tallahassee, FL, 32303 |
| McNeil Walter | Director | 3555 Commonwealth Boulevard, Tallahassee, FL, 32303 |
| LAMPKIN MARCUS | President | 3555 Commonwealth Boulevard, Tallahassee, FL, 32303 |
| Brown Monesia | Director | 3555 Commonwealth Boulevard, Tallahassee, FL, 32303 |
| Redding Leslie | Director | 3555 Commonwealth Boulevard, Tallahassee, FL, 32303 |
| CORPORATION SERVICE COMPANY | Agent | - |
| RASMUSSEN JUDY F | Treasurer | 14100 Crawford Street, Boys Town, NE, 68010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-03-29 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-29 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| CHANGE OF MAILING ADDRESS | 2010-04-05 | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-09 | 3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303 | - |
| NAME CHANGE AMENDMENT | 2008-03-17 | BOYS TOWN NORTH FLORIDA, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| AMENDED ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-03-15 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
