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MODERN RECOVERY, INC. - Florida Company Profile

Company Details

Entity Name: MODERN RECOVERY, 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: 05 Feb 2021 (4 years ago)
Date of dissolution: 11 Jul 2023 (2 years ago)
Last Event: WITHDRAWAL
Event Date Filed: 11 Jul 2023 (2 years ago)
Document Number: F21000000749
FEI/EIN Number NOT APPLICABLE

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 270 Lafayette Street, New York, NY, 11225, US
Mail Address: 228 PARK AVE S PMB 49993, NEW YORK, NY, 10003, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356008627 2021-11-22 2021-11-22 2875 NE 191ST ST STE 500, AVENTURA, FL, 331802832, US 2875 NE 191ST ST STE 500, AVENTURA, FL, 331802832, US

Contacts

Phone +1 844-991-0555

Authorized person

Name MR. ANDRE BAHBAH
Role DIRECTOR OF RCM
Phone 7542706645

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERN RECOVERY 401(K) PLAN 2023 854072289 2024-05-16 MODERN RECOVERY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621491
Sponsor’s telephone number 3235329616
Plan sponsor’s address 2875 NE 191ST ST, SUITE 500, OFFICE 504, AVENTURA, FL, 33180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-16
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MODERN RECOVERY 401(K) PLAN 2022 854072289 2023-05-27 MODERN RECOVERY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621491
Sponsor’s telephone number 3235329616
Plan sponsor’s address 2875 NE 191ST ST, SUITE 500, OFFICE 504, AVENTURA, FL, 33180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MODERN RECOVERY 401(K) PLAN 2021 854072289 2022-06-01 MODERN RECOVERY, INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621491
Sponsor’s telephone number 3235329616
Plan sponsor’s address 2875 NE 191ST ST, SUITE 500, OFFICE 504, AVENTURA, FL, 33180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Yakubchyk Yury Member 270 Lafayette Street, New York, NY, 11225

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000102396 VIRGIL ACTIVE 2021-08-06 2026-12-31 - 2875 NE 191 STREET, SUITE 500, OFFICE, 540, AVENTURA, FL, 33180

Events

Event Type Filed Date Value Description
WITHDRAWAL 2023-07-11 - -
CHANGE OF MAILING ADDRESS 2023-07-11 270 Lafayette Street, Suite 200, New York, NY 11225 -
REGISTERED AGENT CHANGED 2023-07-11 REGISTERED AGENT REVOKED -
CHANGE OF PRINCIPAL ADDRESS 2023-04-12 270 Lafayette Street, Suite 200, New York, NY 11225 -

Documents

Name Date
WITHDRAWAL 2023-07-11
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-22
Foreign Profit 2021-02-05

Date of last update: 03 Apr 2025

Sources: Florida Department of State