| Entity Name: | WATTS GUARDIAN CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jul 2004 (21 years ago) |
| Date of dissolution: | 18 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Mar 2021 (4 years ago) |
| Document Number: | P04000110258 |
| FEI/EIN Number | 201458882 |
| Mail Address: | 7363 PROSPERITY PRK RD N, JACKSONVILLE, FL, 32244, US |
| Address: | 7217 EUDINE DR N, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679997704 | 2014-02-10 | 2014-02-10 | 7217 EUDINE DR N, JACKSONVILLE, FL, 322102628, US | 7217 EUDINE DR N, JACKSONVILLE, FL, 322102628, US | |||||||||||||||||||||||
|
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| Phone | +1 904-693-2276 |
Authorized person
| Name | MRS. MILDRED WALKER WATTS |
| Role | PRESIDENT |
| Phone | 9046932276 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL10622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142374600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROGERS MARY | Agent | 11314 WESLEY LAKE DR., JACKSONVILLE, FL, 32220 |
| Name | Role | Address |
|---|---|---|
| WATTS MILDRED | President | 7363 PROSPERITY PRK RD N, JACKSONVILLE, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-18 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-20 | 7217 EUDINE DR N, JACKSONVILLE, FL 32210 | No data |
| REINSTATEMENT | 2012-02-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-09 | 11314 WESLEY LAKE DR., JACKSONVILLE, FL 32220 | No data |
| CANCEL ADM DISS/REV | 2009-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-04-08 | ROGERS, MARY | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-18 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-02-20 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-02-26 |
| REINSTATEMENT | 2012-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
