| Entity Name: | LAMERCIE HOME INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jan 1991 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Aug 1993 (32 years ago) |
| Document Number: | S24925 |
| FEI/EIN Number | 65-0670529 |
| Address: | 4225 N.W. 25TH PLACE, FORT-LAUDERDALE, FL 33313 |
| Mail Address: | 4225 N.W. 25TH PLACE, FORT-LAUDERDALE, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972787893 | 2007-12-27 | 2020-04-22 | 4225 NW 25TH PL, LAUDERHILL, FL, 333133638, US | 4225 NW 25TH PL, LAUDERHILL, FL, 333133638, US | |||||||||||||||||||||||||
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| Phone | +1 954-486-7792 |
| Fax | 9544869121 |
Authorized person
| Name | NICOLAS J VALIAS |
| Role | PRESIDENT |
| Phone | 9544867792 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8248 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 141294900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DADAILLE, GRACIAN PATRICK | Agent | 4225 NW 25TH PLACE, FT LAUDERDALE, FL 33313 |
| Name | Role | Address |
|---|---|---|
| DADAILLE, GRACIAN PATRICK | Officer | 4225 N.W. 25TH PLACE, FORT-LAUDERDALE, FL 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-27 | DADAILLE, GRACIAN PATRICK | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-06 | 4225 N.W. 25TH PLACE, FORT-LAUDERDALE, FL 33313 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-22 | 4225 N.W. 25TH PLACE, FORT-LAUDERDALE, FL 33313 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-22 | 4225 NW 25TH PLACE, FT LAUDERDALE, FL 33313 | No data |
| REINSTATEMENT | 1993-08-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000415602 | TERMINATED | 1000001000775 | BROWARD | 2024-06-25 | 2034-07-03 | $ 1,070.42 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-02-27 |
| AMENDED ANNUAL REPORT | 2022-08-26 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
