| Entity Name: | COASTAL BEHAVIORAL HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Jan 1973 (52 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | 725154 |
| FEI/EIN Number |
591432136
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4579 Northgate Ct, SARASOTA, FL, 34234, US |
| Mail Address: | P. O. BOX 1599, SARASOTA, FL, 34230, US |
| ZIP code: | 34234 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1598726648 | 2006-03-29 | 2020-09-09 | 4579 NORTHGATE CT, SARASOTA, FL, 342342124, US | 4579 NORTHGATE CT, SARASOTA, FL, 342342124, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-366-5333 |
| Fax | 9419276315 |
| Phone | +1 941-927-8900 |
| Fax | 9413082931 |
Authorized person
| Name | CAROL HABERMEHL |
| Role | BILLING/CLAIMS/MANAGEDCARE DIRECTOR |
| Phone | 9413312530 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 1423 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 060975721 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975728 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975725 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975716 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975717 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975726 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975720 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975715 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975722 |
| State | FL |
| Issuer | MEDICAID |
| Number | 060975741 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300IJ913Z8O0B2S29 | 725154 | US-FL | GENERAL | ACTIVE | - | |||||||||||||||||||
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| Legal | C/O Radcliffe, Joanne M, 1565 State Street, Sarasota, US-FL, US, 34236 |
| Headquarters | 1565 State Street, Sarasota, US-FL, US, 34236 |
Registration details
| Registration Date | 2013-12-19 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2014-12-16 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 725154 |
| Name | Role | Address |
|---|---|---|
| Tiutyama Victoria | President | 4579 Northgate Ct, SARASOTA, FL, 34234 |
| Dudley Carson | Chairman | 5700 Midnight Pass Rd, Sarasota, FL, 34242 |
| Miller Jay | Secretary | 800 S. Osprey Ave, Sarasota, FL, 34236 |
| Alexander Ken | Director | 2180 Tall Oak Court, Sarasota, FL, 34232 |
| Tiutyama Victoria | Agent | 4579 Northgate Ct, SARASOTA, FL, 34234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-23 | 4579 Northgate Ct, SARASOTA, FL 34234 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-23 | 4579 Northgate Ct, SARASOTA, FL 34234 | - |
| REGISTERED AGENT NAME CHANGED | 2020-04-23 | Tiutyama, Victoria | - |
| AMENDMENT | 2019-11-13 | - | - |
| AMENDMENT | 2011-02-03 | - | - |
| CHANGE OF MAILING ADDRESS | 2004-02-03 | 4579 Northgate Ct, SARASOTA, FL 34234 | - |
| NAME CHANGE AMENDMENT | 2001-12-05 | COASTAL BEHAVIORAL HEALTHCARE, INC. | - |
| AMENDMENT | 1990-09-04 | - | - |
| NAME CHANGE AMENDMENT | 1988-12-30 | COASTAL RECOVERY CENTERS, INC. | - |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LAWRENCE GUDMESTAD VS COASTAL BEHAVIORAL HEALTHCARE, INC. AND THOMAS M. KNIGHT, SHERIFF OF SARASOTA COUNTY | 2D2018-3791 | 2018-09-21 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | LAWRENCE GUDMESTAD |
| Role | Petitioner |
| Status | Active |
| Representations | JOHN TORRACO, ESQ. |
| Name | COASTAL BEHAVIORAL HEALTHCARE, INC. |
| Role | Respondent |
| Status | Active |
| Representations | Katie Lynn Salemi - Ashby, A.A.G., CRYSTAL BAILEY, ESQ., Attorney General, Tampa |
| Name | THOMAS M. KNIGHT, SHERIFF |
| Role | Respondent |
| Status | Active |
| Name | HON. STEPHEN WALKER |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | HONORABLE LYNN N. SILVERTOOTH |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | SARASOTA CLERK |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2018-11-07 |
| Type | Misc. Events |
| Subtype | Case Closed |
| Description | Case Closed |
| Docket Date | 2018-10-08 |
| Type | Disposition |
| Subtype | Denied |
| Description | Denied - Order by Judge ~ LaRose, C.J., and Morris and Salario |
| Docket Date | 2018-10-08 |
| Type | Disposition by Order |
| Subtype | Denied |
| Description | denial of habeas corpus ~ Petitioner's petition for writ of habeas corpus is denied as moot. |
| Docket Date | 2018-10-01 |
| Type | Response |
| Subtype | Reply |
| Description | REPLY ~ PETITIONER'S REPLY FOR WRIT OF HABEAS CORPUS, OR IN THE ALTERNATIVE WRIT OF CERTIORARI |
| On Behalf Of | LAWRENCE GUDMESTAD |
| Docket Date | 2018-09-28 |
| Type | Notice |
| Subtype | Notice of Supplemental Authority |
| Description | Notice of Supplemental Authority |
| On Behalf Of | LAWRENCE GUDMESTAD |
| Docket Date | 2018-09-28 |
| Type | Response |
| Subtype | Response |
| Description | RESPONSE ~ RESPONSE TO PETITION FOR WRIT OF HABEAS CORPUS OR, IN THEALTERNATIVE, PETITION FOR WRIT OF CERTIORARI |
| On Behalf Of | COASTAL BEHAVIORAL HEALTHCARE, INC. |
| Docket Date | 2018-09-28 |
| Type | Record |
| Subtype | Appendix to Response |
| Description | APPENDICES /ATTACHMENTS TO RESPONSE ~ APPENDIX TO RESPONSE TO PETITION FOR WRIT OF HABEAS CORPUS OR, IN THE ALTERNATIVE, PETITION FOR WRIT OF CERTIORARI |
| On Behalf Of | COASTAL BEHAVIORAL HEALTHCARE, INC. |
| Docket Date | 2018-09-21 |
| Type | Record |
| Subtype | Appendix |
| Description | ORIGINAL APPENDIX OR ATTACHMENT |
| On Behalf Of | LAWRENCE GUDMESTAD |
| Docket Date | 2018-09-21 |
| Type | Petition |
| Subtype | Petition |
| Description | Petition Filed |
| On Behalf Of | LAWRENCE GUDMESTAD |
| Docket Date | 2018-09-21 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | NF4:No Fee-Habeas Corpus |
| Docket Date | 2018-09-21 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter 1 |
| Docket Date | 2018-09-21 |
| Type | Order |
| Subtype | Quick Response to Habeas by AG |
| Description | quick response to habeas by AG ~ The Attorney General shall file and serve a response to the petition for writ of habeas corpus or in the alternative writ of certiorari on or before September 28, 2018. The petitioner may file a reply within three days of service of the response. Any electronic filing shall be designated as an emergency by checking the box for this purpose. |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-23 |
| Amendment | 2019-11-13 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-03-18 |
| AMENDED ANNUAL REPORT | 2013-05-14 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SM059621 | Department of Health and Human Services | 93.243 - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE | 2010-09-30 | 2014-09-29 | COASTAL BEHAVIORAL HEALTHCARE ELECTRONIC HEALTH RECORD (EHR) IMPLEMENTATION GRANT | |||||||||||||||||||||
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| SM058668 | Department of Health and Human Services | 93.243 - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE | 2008-09-30 | 2011-09-29 | PATHWAYS TO HEALTH" 60 AND BEYOND | |||||||||||||||||||||
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| TI018019 | Department of Health and Human Services | 93.243 - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE | 2006-09-30 | 2011-09-29 | CHARLOTTE COUNTY HOME 2 RECOVERY PROJECT | |||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
