| Entity Name: | L.V. WALTERS GROUP HOMES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Feb 2003 (22 years ago) |
| Document Number: | P03000014639 |
| FEI/EIN Number | 593767832 |
| Address: | 1616 SW 17th Ave, Fort Lauderdale, FL, 33312, US |
| Mail Address: | 1616 SW 17th Ave, Fort Lauderdale, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306146238 | 2010-10-26 | 2010-10-26 | 7422 NW 66TH TER, TAMARAC, FL, 333215201, US | 7422 NW 66TH TER, TAMARAC, FL, 333215201, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-818-1230 |
Authorized person
| Name | MR. LAWRENCE ELTON WALTERS |
| Role | PRESIDENT |
| Phone | 9548181230 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685525396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALTERS LAWRENCE E | Agent | 1616 SW 17th Ave, Fort Lauderdale, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| WALTERS LAWRENCE E | Director | 1616 SW 17th Ave, Fort Lauderdale, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-06 | WALTERS, LAWRENCE ELTON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-02 | 1616 SW 17th Ave, Fort Lauderdale, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-02 | 1616 SW 17th Ave, Fort Lauderdale, FL 33312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-02 | 1616 SW 17th Ave, Fort Lauderdale, FL 33312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
