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  5. THE BEACHCOMBER REHABILITATION, INC.

THE BEACHCOMBER REHABILITATION, INC.

Company Details

Entity Name: THE BEACHCOMBER REHABILITATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Oct 1976 (48 years ago)
Document Number: 516392
FEI/EIN Number 591696573
Address: 4493 N. OCEAN BLVD, DELRAY BEACH, FL, 33483
Mail Address: 4493 N. OCEAN BLVD, DELRAY BEACH, FL, 33483
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720436793 2016-05-31 2016-05-31 4493 N OCEAN BLVD, DELRAY BEACH, FL, 334837522, US 1001 W COMMERCIAL BLVD, FORT LAUDERDALE, FL, 333093107, US

Contacts
Phone +1 561-734-1818

Authorized person
Name NICOLA RAJARAM
Role BILLING MANAGER
Phone 9542726723

Taxonomy
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2023 591696573 2024-07-11 THE BEACHCOMBER REHABILITATION, INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2022 591696573 2023-10-25 THE BEACHCOMBER REHABILITATION, INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2022 591696573 2023-04-25 THE BEACHCOMBER REHABILITATION, INC 29
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2021 591696573 2022-11-16 THE BEACHCOMBER REHABILITATION, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2021 591696573 2022-07-29 THE BEACHCOMBER REHABILITATION, INC 31
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2020 591696573 2021-07-23 THE BEACHCOMBER REHABILITATION, INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2019 591696573 2020-06-12 THE BEACHCOMBER REHABILITATION, INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2018 591696573 2019-06-30 THE BEACHCOMBER REHABILITATION, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2017 591696573 2018-09-03 THE BEACHCOMBER REHABILITATION, INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483
THE BEACHCOMBER, INC. PROFIT SHARING PLAN 2016 591696573 2017-10-02 THE BEACHCOMBER REHABILITATION, INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 541990
Sponsor’s telephone number 5612766226
Plan sponsor’s address 4493 NORTH OCEAN BOULEVARD, DELRAY BEACH, FL, 33483

Agent

Name Role Address
BESKIN JAY R Agent 213 EAST SHERIDAN STREET, DANIA BEACH, FL, 33004

Chairman

Name Role Address
BRYAN JAMES A Chairman 4493 NORTH OCEAN BLVD, DELRAY BEACH, FL, 33483

Director

Name Role Address
BRYAN JAMES A Director 4493 NORTH OCEAN BLVD, DELRAY BEACH, FL, 33483
BRYAN FRANCIS R Director 4493 NORTH OCEAN BLVD, DELRAY BEACH, FL, 33483

Secretary

Name Role Address
BRYAN FRANCIS R Secretary 4493 NORTH OCEAN BLVD, DELRAY BEACH, FL, 33483

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000071723 THE BEACHCOMBER EXPIRED 2017-06-30 2022-12-31 No data 4493 N. OCEAN BLVD, DELRAY BEACH, FL, 33483

Events

Event Type Filed Date Value Description
AMENDMENT 2003-12-03 No data No data
CANCEL ADM DISS/REV 2003-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data
AMENDMENT 2002-12-04 No data No data

Related by officers

BRYAN JAMES A

BEACHCOMBER ENTERPRISES, LLC BEACHCOMBER OUTPATIENT SERVICES, LLC 518 S JEFFERSON LLC 90 SOUTH HARRISON LLC PALLIDIN HOLDINGS LLC APEX AIRCRAFT PARTNERS, INC. FUTURECORE, LLC PHOENIX AIRCRAFT LEASING II, INC. PINNACLE CAYMAN FUNDING, INC. PHOENIX AIRCRAFT LEASING, INC.

BRYAN FRANCIS R

BEACHCOMBER ENTERPRISES, LLC BEACHCOMBER OUTPATIENT SERVICES, LLC SHORELINE LODGING, LLC BEACHCOMBER WELLNESS CENTER, LLC GURNEE HOUSE, LLC

BESKIN JAY R

FAST TRACK FUNDING, LLC THIRD GENERATION MILLER, LLC 5368 LAKE ENTERPRISES, LLC 1120 PARK PROPERTIES LLC BEACHCOMBER OUTPATIENT SERVICES, LLC J. AMIR REALTY, LLC TMT EVERGREEN LLC DISTRIBUIDORA GLENN, LLC REEVES FAMILY LIMITED LIABILITY LIMITED PARTNERSHIP MARGO INVESTMENTS, LLC

Related by address

4493 N. OCEAN BLVD, DELRAY BEACH, FL, 33483

SHORELINE LODGING, LLC

4493 N. OCEAN BLVD, DELRAY BEACH, FL, 33483

SHORELINE LODGING, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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