| Entity Name: | BANYAN RECOVERY INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BANYAN RECOVERY INSTITUTE, 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. |
| 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: | 07 Aug 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L13000111511 |
| FEI/EIN Number |
46-3866998
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1901 W CYPRESS CREEK ROAD, 5TH FLOO, FT. LAUDERDALE, FL, 33309, US |
| Mail Address: | 1901 W CYPRESS CREEK ROAD, 5TH FLOO, FT. LAUDERDALE, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780126755 | 2016-11-08 | 2016-11-08 | 2699 STIRLING RD, SUITE B-301, FT LAUDERDALE, FL, 333126517, US | 2699 STIRLING RD, SUITE B-301, FT LAUDERDALE, FL, 333126517, US | |||||||||||||||||
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| Phone | +1 954-874-7923 |
Authorized person
| Name | MS. CLARIBEL DELOSSANTOS |
| Role | CLAIMS SUPERVISOR |
| Phone | 9548747923 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 1706AD699801 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tepner Harvey | Manager | 1901 W CYPRESS CREEK ROAD, 5TH FLOO, FT. LAUDERDALE, FL, 33309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000102174 | RECOVERY GROVE ADDICTIONS PROGRAM | EXPIRED | 2016-09-19 | 2021-12-31 | - | 3107 STIRLING ROAD, #307, FORT LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-17 | 1901 W CYPRESS CREEK ROAD, 5TH FLOO, FT. LAUDERDALE, FL 33309 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-17 | 1901 W CYPRESS CREEK ROAD, 5TH FLOO, FT. LAUDERDALE, FL 33309 | - |
| LC AMENDMENT | 2013-10-17 | - | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2024-10-15 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-17 |
| AMENDED ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-07-08 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
