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PRINCIPLES RECOVERY CENTER LLC

Company Details

Entity Name: PRINCIPLES RECOVERY CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Dec 2014 (10 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 26 Mar 2018 (7 years ago)
Document Number: L14000184937
FEI/EIN Number 32-0455807
Address: 4343 South State Road 7, Davie, FL, 33314, US
Mail Address: 4343 South State Road 7, Davie, FL, 33314, US
ZIP code: 33314
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225884091 2024-04-24 2024-08-09 9350 SUNSET DR, MIAMI, FL, 331733286, US 9350 SUNSET DR STE 118, MIAMI, FL, 331733245, US

Contacts

Phone +1 561-816-9023
Fax 9543681345

Authorized person

Name DUSTIN JOHNSON
Role CEO
Phone 5618169023

Taxonomy

Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRINCIPLES RECOVERY CENTER LLC 401K 2023 320455807 2024-09-06 PRINCIPLES RECOVERY CENTER LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621498
Sponsor’s telephone number 7862717475
Plan sponsor’s address 4343 SOUTH STATE ROAD 7 109, DAVIE, FL, 33314

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Johnson Dustin Agent 4343 South State Road 7, Davie, FL, 33314

Manager

Name Role Address
Johnson Dustin M Manager 4343 South State Road 7, Davie, FL, 33314

Auth

Name Role Address
Neves De Medeiros Camila Auth 4343 South State Road 7, Davie, FL, 33314

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000009833 AWA: ADOLESCENT WELLNESS ACADEMY ACTIVE 2024-01-17 2029-12-31 No data 4343 SOUTH STATE ROAD 7, SUITE 101, DAVIE, FL, 33314

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-16 Johnson, Dustin No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-16 4343 South State Road 7, 101, Davie, FL 33314 No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-23 4343 South State Road 7, ste 101, Davie, FL 33314 No data
CHANGE OF MAILING ADDRESS 2022-02-23 4343 South State Road 7, ste 101, Davie, FL 33314 No data
LC DISSOCIATION MEM 2018-03-26 No data No data
LC AMENDMENT 2017-02-06 No data No data
LC AMENDMENT 2017-01-31 No data No data
LC AMENDMENT 2017-01-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-16
AMENDED ANNUAL REPORT 2023-10-09
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-01
CORLCDSMEM 2018-03-26
ANNUAL REPORT 2018-03-15
DEBIT MEMO# 025068-B 2018-03-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State