| Entity Name: | LIFE INTEGRATION RECOVERY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 May 2016 (9 years ago) |
| Document Number: | L16000092628 |
| FEI/EIN Number | 812595326 |
| Address: | 543 W. KALMIA DRIVE, LAKE PARK, FL, 33403, US |
| Mail Address: | 13221 US HIGHWAY 1, JUNO BEACH, FL, 33408, US |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720536535 | 2016-09-21 | 2016-09-21 | 13221 US HIGHWAY 1, JUNO BEACH, FL, 334082222, US | 13221 US HIGHWAY 1, JUNO BEACH, FL, 334082222, US | |||||||||||||||
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| Phone | +1 561-337-3200 |
| Fax | 8446812025 |
Authorized person
| Name | GLENN COHEN |
| Role | CEO |
| Phone | 5613373200 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOYKO NATALIYA | Agent | 13211 US HIGHWAY 1, JUNO BEACH, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| PUNDT MARK | Auth | 13211 US HIGHWAY 1, JUNO BEACH, FL, 33408 |
| Boyko Nataliya | Auth | 13221 US HIGHWAY 1, JUNO BEACH, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| PUNDT MARK | Authorized Member | 13211 US HIGHWAY 1, JUNO BEACH, FL, 33408 |
| Name | Role |
|---|---|
| BEACH HOUSE TREATMENT CENTER, LLC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-30 | BOYKO, NATALIYA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-27 | 543 W. KALMIA DRIVE, LAKE PARK, FL 33403 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| AMENDED ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-01-16 |
| AMENDED ANNUAL REPORT | 2017-06-22 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
