| Entity Name: | EBH ACQUISITION SUBSIDIARY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign 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: | 26 Aug 2011 (14 years ago) |
| Date of dissolution: | 08 Aug 2019 (6 years ago) |
| Last Event: | REVOKED FOR REGISTERED AGENT |
| Event Date Filed: | 08 Aug 2019 (6 years ago) |
| Document Number: | F11000003463 |
| FEI/EIN Number |
452576132
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5000 Airport Plaza Drive, LONG BEACH, CA, 90815, US |
| Mail Address: | 5000 Airport Plaza Drive, LONG BEACH, CA, 90815, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477911642 | 2016-02-03 | 2016-02-03 | PO BOX 670556, DALLAS, TX, 752670556, US | 3100 E COMMERCIAL BLVD, FT LAUDERDALE, FL, 333084327, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 615-567-7256 |
Authorized person
| Name | MS. CHERYK MAPLESDEN |
| Role | DIRECTOR, REVENUE CYCLE |
| Phone | 6155103708 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 86988 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME77726 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME96991 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARPN1952242 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9199231 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP2857482 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SACK DAVID Dr. | Chief Executive Officer | 5000 Airport Plaza Drive, LONG BEACH, CA, 90815 |
| POAN NICHOLAS | Secretary | 5000 Airport Plaza Drive, LONG BEACH, CA, 90815 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000001407 | THE RECOVERY PLACE | EXPIRED | 2017-01-05 | 2022-12-31 | - | 5000 AIRPORT PLAZA DRIVE, STE 100, LONG BEACH, CA, 90815 |
| G15000062444 | ORION OUTPATIENT TREATMENT CENTERS | EXPIRED | 2015-06-17 | 2020-12-31 | - | 5000 EAST SPRING STREET, SUITE 650, LONG BEACH, CA, 90815 |
| G15000027976 | BEL CANTO DETOX | EXPIRED | 2015-03-17 | 2020-12-31 | - | 5000 EAST SPRING STREET, SUITE 650, LONG BEACH, CA, 90815 |
| G11000102913 | THE RECOVERY PLACE | EXPIRED | 2011-10-20 | 2016-12-31 | - | 3100 E. COMMERCIAL BLVD, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR REGISTERED AGENT | 2019-08-08 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-26 | 5000 Airport Plaza Drive, Suite 100, LONG BEACH, CA 90815 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-26 | 5000 Airport Plaza Drive, Suite 100, LONG BEACH, CA 90815 | - |
| Name | Date |
|---|---|
| Revoked for Registered Agent | 2019-08-08 |
| Reg. Agent Resignation | 2019-02-18 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-08-14 |
| ANNUAL REPORT | 2014-06-23 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-02-15 |
| Foreign Profit | 2011-08-26 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
