| Entity Name: | PLUM VILLAGE HEALTH INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Apr 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000069506 |
| FEI/EIN Number | 473775448 |
| Address: | 555 S.W.148TH AVE, SUNRISE, FL, 33325, US |
| Mail Address: | 555 S.W.148TH AVE, SUNRISE, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750768578 | 2015-04-30 | 2015-04-30 | 555 SW 148TH AVE, DAVIE, FL, 333253010, US | 555 SW 148TH AVE, DAVIE, FL, 333253010, US | |||||||||||||||||||||
|
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| Phone | +1 954-534-5773 |
Authorized person
| Name | BARBARA IRIZARRY |
| Role | MANAGER |
| Phone | 9545345773 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Taxonomy Code | 3245S0500X - Children's Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| IRIZARRY BARBARA | Agent | 555 S.W. 148TH AVE, SUNRISE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| BOMBART LOUIS | Member | 555 S.W.148TH AVE, SUNRISE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| IRIZARRY BARBARA | Managing Member | 555 S.W.148TH AVE, SUNRISE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC AMENDMENT | 2015-11-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-13 | IRIZARRY, BARBARA | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2015-11-13 |
| LC Amendment | 2015-11-13 |
| Florida Limited Liability | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
