| Entity Name: | ROBERTS GROUP HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Dec 2002 (22 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 21 Nov 2008 (16 years ago) |
| Document Number: | P02000131827 |
| FEI/EIN Number | 020702880 |
| Address: | 10131 NS 21 CT, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | 3230 THAMES WAY, MIRAMAR, FL, 33025, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265737811 | 2011-01-12 | 2011-01-12 | 3230 THAMES WAY, MIRAMAR, FL, 33025, US | 7680 HOOD ST., HOLLYWOOD, FL, 33024, US | |||||||||||||||||||||||||
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| Phone | +1 954-961-8643 |
| Fax | 9549899649 |
Authorized person
| Name | MR. LARRY J ROBERTS |
| Role | MANAGER |
| Phone | 9544495005 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | F020702888001 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 687100396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTS LARRY | Agent | 3230 THAMES WAY, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| ROBERTS LARRY | President | 3230 THAMES WAY, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| ROBERTS LARRY | Director | 3230 THAMES WAY, MIRAMAR, FL, 33025 |
| LARRY ROBERTS J | Director | 3230 THAMES WAY, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| Roberts LARRY J | Vice President | 10131 nw 21st ct, pembroke pines, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-28 | 10131 NS 21 CT, PEMBROKE PINES, FL 33026 | No data |
| NAME CHANGE AMENDMENT | 2008-11-21 | ROBERTS GROUP HOME, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-18 | ROBERTS, LARRY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-18 | 3230 THAMES WAY, MIRAMAR, FL 33025 | No data |
| CANCEL ADM DISS/REV | 2003-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000773306 | TERMINATED | 1000000179775 | BROWARD | 2010-07-15 | 2030-07-21 | $ 1,460.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-19 |
| AMENDED ANNUAL REPORT | 2020-09-02 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| AMENDED ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
