Entity Name: | EBH SERVICES OF FLORIDA, 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: | 09 Aug 2012 (13 years ago) |
Date of dissolution: | 06 Sep 2019 (6 years ago) |
Last Event: | REVOKED FOR REGISTERED AGENT |
Event Date Filed: | 06 Sep 2019 (6 years ago) |
Document Number: | F12000003304 |
FEI/EIN Number |
46-0726802
Federal Employer Identification (FEI) Number assigned by the IRS. |
Mail Address: | 5000 Airport Plaza Drive, LONG BEACH, CA, 90815, US |
Address: | 112-118 N Oak St, Lantana, FL, 33462, US |
ZIP code: | 33462 |
County: | Palm Beach |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437519055 | 2016-02-24 | 2016-05-05 | PO BOX 670521, DALLAS, TX, 752670521, US | 112 N OAK ST, SUITE 109, LANTANA, FL, 334623260, US | |||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 615-567-7282 |
Phone | +1 561-337-2600 |
Authorized person
Name | CHERYL MAPLESDEN |
Role | DIRECTOR, REVENUE CYCLE |
Phone | 6155103708 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
License Number | ME110917 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
License Number | ARNP1688752 |
State | FL |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
License Number | ARNP3156662 |
State | FL |
Is Primary | No |
Taxonomy Code | 364SF0001X - Family Health Clinical Nurse Specialist |
License Number | RN9366620 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY | Agent | - |
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 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000013964 | LUCIDA TREATMENT CENTER | EXPIRED | 2019-01-25 | 2024-12-31 | - | 5000 AIRPORT PLAZA DRIVE, SUITE 100, LONG BEACH, CA, 90815 |
G13000068595 | LUCIDA TREATMENT CENTER | EXPIRED | 2013-07-09 | 2018-12-31 | - | 112 NORTH OAK STREET, UNITS 101-109, LANTANA, FL, 33462 |
G13000050989 | LUCIDA TREATMENT FACILITY | EXPIRED | 2013-05-31 | 2018-12-31 | - | 112 NORTH OAK STREET, UNITS 101-109, LANTANA, FL, 33462 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REVOKED FOR REGISTERED AGENT | 2019-09-06 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2017-04-26 | 112-118 N Oak St, Lantana, FL 33462 | - |
CHANGE OF MAILING ADDRESS | 2017-04-26 | 112-118 N Oak St, Lantana, FL 33462 | - |
Name | Date |
---|---|
Revoked for Registered Agent | 2019-09-06 |
Reg. Agent Resignation | 2019-04-15 |
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 | 2013-02-21 |
Foreign Profit | 2012-08-09 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State