| Entity Name: | LOTUS RECOVERY REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Oct 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000120033 |
| FEI/EIN Number | 45-3649984 |
| Address: | 955 NW 17TH AVE. BLDG. F, DELRAY BEACH, FL 33445 |
| Mail Address: | 455 NE 5TH AVE D-117, DELRAY BEACH, FL 33483 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700124179 | 2013-01-19 | 2015-05-06 | 455 NE 5TH AVE, D-117, DELRAY BEACH, FL, 334835658, US | 955 NW 17TH AVE, SUITE F, DELRAY BEACH, FL, 334452516, US | |||||||||||||||||||||
|
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| Phone | +1 954-588-4934 |
| Fax | 8659842426 |
Authorized person
| Name | RENEE STIFF |
| Role | ADMINISTRATOR |
| Phone | 9545887039 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2039197 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STIFF, RENEE | Agent | 955 NW 17th Avenue, Building F, DELRAY BEACH, FL 33445 |
| Name | Role | Address |
|---|---|---|
| STIFF, RENEE | Manager | 955 NW 17th Avenue, Building F DELRAY BEACH, FL 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 955 NW 17th Avenue, Building F, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-08-06 | 955 NW 17TH AVE. BLDG. F, DELRAY BEACH, FL 33445 | No data |
| CHANGE OF MAILING ADDRESS | 2013-08-06 | 955 NW 17TH AVE. BLDG. F, DELRAY BEACH, FL 33445 | No data |
| LC AMENDMENT | 2013-01-17 | No data | No data |
| REINSTATEMENT | 2012-11-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-22 |
| LC Amendment | 2013-01-17 |
| REINSTATEMENT | 2012-11-26 |
| Florida Limited Liability | 2011-10-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
