Entity Name: | FOUNDATIONS WELLNESS CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 18 Nov 2015 (9 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 16 May 2016 (9 years ago) |
Document Number: | L15000195209 |
FEI/EIN Number | 47-5616667 |
Address: | 160 NW CENTRAL PARK PLAZA, UNIT 110, PORT ST. LUCIE, FL 34986 |
Mail Address: | 160 NW CENTRAL PARK PLAZA, UNIT 110, PORT ST. LUCIE, FL 34986 |
ZIP code: | 34986 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194188656 | 2016-04-01 | 2022-07-21 | 160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL, 349861825, US | 160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL, 349861825, US | |||||||||||||||||
|
Phone | +1 772-812-6852 |
Authorized person
Name | TRAVIS THAMES |
Role | CEO |
Phone | 7723616778 |
Taxonomy
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
License Number | 5601 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Flynn, Lisa M | Agent | 160 NW Central Park Plaza, 110, Port Saint Lucie, FL 34986 |
Name | Role |
---|---|
TABL HOLDINGS, LLC | Manager |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2021-03-09 | Flynn, Lisa M | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-04-13 | 160 NW CENTRAL PARK PLAZA, UNIT 110, PORT ST. LUCIE, FL 34986 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-04-13 | 160 NW Central Park Plaza, 110, Port Saint Lucie, FL 34986 | No data |
CHANGE OF MAILING ADDRESS | 2016-07-07 | 160 NW CENTRAL PARK PLAZA, UNIT 110, PORT ST. LUCIE, FL 34986 | No data |
LC AMENDMENT | 2016-05-16 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-01-03 |
ANNUAL REPORT | 2022-03-09 |
ANNUAL REPORT | 2021-03-09 |
ANNUAL REPORT | 2020-06-04 |
ANNUAL REPORT | 2019-01-25 |
ANNUAL REPORT | 2018-05-01 |
ANNUAL REPORT | 2017-04-13 |
ANNUAL REPORT | 2016-07-07 |
LC Amendment | 2016-05-16 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State