| Entity Name: | SUN RISE LIVING BEHAVIOR HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Oct 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Feb 2024 (a year ago) |
| Document Number: | L15000179731 |
| FEI/EIN Number | 82-2263918 |
| Address: | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL, 32217, US |
| Mail Address: | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073910931 | 2014-11-20 | 2017-02-27 | 943 CESERY BLVD STE G, JACKSONVILLE, FL, 322115655, US | 943 CESERY BLVD STE G, JACKSONVILLE, FL, 322115655, US | |||||||||||||||||||||||||
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| Phone | +1 904-745-0067 |
Authorized person
| Name | MR. MIGUEL MORENO COLON |
| Role | OWNER |
| Phone | 9047450067 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUN-RISE LIVING BHS 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 822263918 | 2022-04-08 | SUN-RISE LIVING BEHAVIOR HEALTH SERVICES, LLC | 10 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-04-08 |
| Name of individual signing | MIGUEL MORENO COLON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-04-08 |
| Name of individual signing | MIGUEL MORENO COLON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MORENO COLON MIGUEL SR. | Agent | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| MORENO MIGUEL SR. | President | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-27 | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-27 | 6266 DUPONT STATION COURT EAST, JACKSONVILLE, FL 32217 | No data |
| REINSTATEMENT | 2020-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-18 | MORENO COLON, MIGUEL, SR. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000352318 | ACTIVE | 2024SC000232 | CLAY COUNTY | 2024-06-09 | 2029-06-10 | $7,957.19 | AMAJ LLC, 2160 AUTUMN COVE CIRCLE, FLEMING ISLAND, FL, 32003 |
| J19000522852 | TERMINATED | 1000000835501 | DUVAL | 2019-07-26 | 2029-07-31 | $ 421.67 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-05 |
| ANNUAL REPORT | 2022-05-24 |
| ANNUAL REPORT | 2021-04-27 |
| REINSTATEMENT | 2020-10-06 |
| REINSTATEMENT | 2019-10-07 |
| ANNUAL REPORT | 2018-06-04 |
| ANNUAL REPORT | 2017-06-15 |
| REINSTATEMENT | 2016-10-18 |
| Florida Limited Liability | 2015-10-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
