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GREENLIFE INTENSIVE OUTPATIENT PROGRAM, LLC - Florida Company Profile

Company Details

Entity Name: GREENLIFE INTENSIVE OUTPATIENT PROGRAM, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GREENLIFE INTENSIVE OUTPATIENT PROGRAM, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Jul 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 01 Feb 2016 (9 years ago)
Document Number: L12000088610
FEI/EIN Number 46-0525989

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

Address: 1601 N PALM AVENUE, PEMBROKE PINES, FL, 33026, US
Mail Address: 1601 N PALM AVENUE, PEMBROKE PINES, FL, 33026, US
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740638717 2016-05-31 2016-05-31 282 NW 162ND AVE, PEMBROKE PINES, FL, 330281147, US 1601 N PALM AVE, SUITE 106, PEMBROKE PINES, FL, 330263200, US

Contacts

Phone +1 954-854-9053

Authorized person

Name NICOLA RAJARAM
Role BILLING MANAGER
Phone 9542726723

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
ITZCHAKI ZVI Manager 1601 N PALM AVE, PEMBROKE PINES, FL, 33026
ITZCHAKI ZVI Agent 1601 N PALM AVE, PEMBROKE PINES, FL, 33026

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000124398 GREENLIFE I.O.P., LLC EXPIRED 2012-12-23 2017-12-31 - 282 N W 162ND AVENUE, PEMBROKE PINES, FL, 33028

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 1601 N PALM AVENUE, SUITE 210, PEMBROKE PINES, FL 33026 -
CHANGE OF MAILING ADDRESS 2024-02-09 1601 N PALM AVENUE, SUITE 210, PEMBROKE PINES, FL 33026 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-09 1601 N PALM AVE, SUITE 210, PEMBROKE PINES, FL 33026 -
REGISTERED AGENT NAME CHANGED 2020-11-20 ITZCHAKI, ZVI -
LC AMENDMENT 2016-02-01 - -

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-28
AMENDED ANNUAL REPORT 2020-11-20
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-02-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1413668003 2020-06-22 0455 PPP 1601 N. PALM AVE. SUITE 106, PEMBROKE PINES, FL, 33026-3200
Loan Status Date 2021-05-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 29043
Loan Approval Amount (current) 29043
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PEMBROKE PINES, BROWARD, FL, 33026-3200
Project Congressional District FL-25
Number of Employees 4
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 29278.53
Forgiveness Paid Date 2021-04-16

Date of last update: 01 Apr 2025

Sources: Florida Department of State