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SERENITY HOUSE DETOX, LLC

Company Details

Entity Name: SERENITY HOUSE DETOX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 08 Feb 2012 (13 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L12000019075
FEI/EIN Number 45-4656050
Address: 10019 Reisterstown Road, Floor 3, Owings Mills, MD 21117
Mail Address: PO Box 1475, Lakwood, NJ 08701
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972046555 2016-11-30 2017-04-04 PO BOX 2070, HALLANDALE, FL, 330082070, US 1780 NW 52ND AVE, LAUDERHILL, FL, 333137811, US

Contacts

Phone +1 888-960-7148

Authorized person

Name ERICA SHAPIRO
Role CEO
Phone 3057617318

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SERENITY HOUSE DETOX 401(K) PROFIT SHARING PLAN & TRUST 2019 454656050 2020-07-19 SERENITY HOUSE DETOX 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 100, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2020-07-19
Name of individual signing MOISES WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2018 454656050 2019-06-28 SERENITY HOUSE DETOX 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 200B, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing MOISES D WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2017 454656050 2018-07-17 SERENITY HOUSE DETOX 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 100, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing MOISES D WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2016 454656050 2017-07-23 SERENITY HOUSE DETOX 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 100, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2017-07-23
Name of individual signing MOISES WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2015 454656050 2016-06-10 SERENITY HOUSE DETOX 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 100, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2016-06-10
Name of individual signing MOISES WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2014 454656050 2015-07-20 SERENITY HOUSE DETOX 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 9543367747
Plan sponsor’s address 3201 WEST GRIFFIN RD STE 100, FORT LAUDERDALE, FL, 33312

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing MOISES WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2013 454656050 2014-06-26 SERENITY HOUSE DETOX 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 9543367747
Plan sponsor’s address 1780 NW 52ND AVE, LAUDERHILL, FL, 33313

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing MOISES WORTHALTER
Valid signature Filed with authorized/valid electronic signature
SERENITY HOUSE DETOX 401 K PROFIT SHARING PLAN TRUST 2012 454656050 2013-07-26 SERENITY HOUSE DETOX, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621498
Sponsor’s telephone number 9543367747
Plan sponsor’s address 1780 NW 52ND AVE, LAUDERHILL, FL, 33313

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing SERENITY HOUSE DETOX, LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Worthalter, Moises D Agent 777 SE 20th Street, 150, Fort Lauderdale, FL 33316

Managing Member

Name Role Address
Gold, Mark Managing Member PO Box 121, Howell, NJ 07731

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000107528 SERENITY HOUSE DETOX EXPIRED 2013-10-26 2018-12-31 No data PO BOX 2070, HALLANDALE, FL, 33008

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-01-24 10019 Reisterstown Road, Floor 3, Owings Mills, MD 21117 No data
CHANGE OF MAILING ADDRESS 2022-01-24 10019 Reisterstown Road, Floor 3, Owings Mills, MD 21117 No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-29 777 SE 20th Street, 150, Fort Lauderdale, FL 33316 No data
REGISTERED AGENT NAME CHANGED 2013-03-01 Worthalter, Moises D No data
LC AMENDMENT 2012-03-01 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J20000102141 ACTIVE 19 27453 CC 05 MIAMI DADE CO 2020-01-31 2025-02-18 $6053.44 KAREN B. SCHAPIRA, PLLC, C/O MICHAEL W. SKOP, ESQ, 6808 GRIFFIN ROAD, #208, DAVIE, FLORIDA 33314

Documents

Name Date
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-07-29
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-01
ANNUAL REPORT 2014-01-25
ANNUAL REPORT 2013-03-01

Date of last update: 23 Jan 2025

Sources: Florida Department of State