| Entity Name: | ROCKIN RECOVERY LIFE SKILLS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Jan 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L14000010526 |
| FEI/EIN Number | 46-4601853 |
| Address: | 138 SW 12TH AVE, Delray Beach, FL 33444 |
| Mail Address: | 138 SW 12TH AVE, Delray Beach, FL 33444 |
| ZIP code: | 33444 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225494529 | 2016-01-04 | 2016-01-29 | PO BOX 6542, DELRAY BEACH, FL, 334826542, US | 265 NE 5TH AVE, DELRAY BEACH, FL, 334835530, US | |||||||||||||||||||||||
|
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| Phone | +1 561-255-3573 |
| Fax | 5618087394 |
Authorized person
| Name | KELI KORNMILLER |
| Role | SENIOR CREDENTIALING SPECIALIST |
| Phone | 5616728345 |
Taxonomy
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1550AD185301 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NUSSBAUM, MICHAEL D | Agent | 138 SW 12TH AVENUE, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| NUSSBAUM, MICHEAL | Manager | 5201 VAN BUREN RD., DELRAY BEACH, FL 33484 |
| Name | Role | Address |
|---|---|---|
| NUSSBAUM, MICHEAL | Authorized Member | 5201 VAN BUREN RD., DELRAY BEACH, FL 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-04 | 138 SW 12TH AVE, Delray Beach, FL 33444 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-04 | 138 SW 12TH AVE, Delray Beach, FL 33444 | No data |
| REINSTATEMENT | 2019-01-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-03 | NUSSBAUM, MICHAEL D | No data |
| LC AMENDMENT | 2017-05-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-16 | 138 SW 12TH AVENUE, DELRAY BEACH, FL 33444 | No data |
| LC AMENDMENT | 2017-02-16 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-01-18 |
| AMENDED ANNUAL REPORT | 2017-05-03 |
| LC Amendment | 2017-05-01 |
| LC Amendment | 2017-02-16 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-02-26 |
| Florida Limited Liability | 2014-01-21 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
