| Entity Name: | RIVERSIDE RECOVERY OF TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jan 2017 (8 years ago) |
| Document Number: | L17000007229 |
| FEI/EIN Number | 81-4905194 |
| Mail Address: | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Address: | 4004 N. Riverside Dr., TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619415197 | 2017-02-06 | 2023-05-15 | 4004 N. RIVERSIDE DR., TAMPA, FL, 33603, US | 4004 N. RIVERSIDE DR., TAMPA, FL, 33603, US | |||||||||||||||
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| Phone | +1 813-296-8308 |
| Fax | 8134335222 |
Authorized person
| Name | GALE KIRKPATRICK |
| Role | CEO |
| Phone | 8132968301 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE RECOVERY OF TAMPA, LLC 401(K) PLAN | 2023 | 814905194 | 2024-04-19 | RIVERSIDE RECOVERY OF TAMPA, LLC | 84 | |||||||||||||
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| RIVERSIDE RECOVERY OF TAMPA, LLC 401(K) PLAN | 2022 | 814905194 | 2023-03-01 | RIVERSIDE RECOVERY OF TAMPA, LLC | 69 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Casper Christopher | Agent | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Casper Blake J | Manager | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Alley Todd | Manager | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Sikorske Jeff | Manager | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Kirkpatrick Gale " | Chief Executive Officer | 4004 N. Riverside Dr., TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| Wischnack Brian | Vice President | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Wischnack Brian | Founder | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Casper Christopher J | Gene | 4908 WEST NASSAU STREET, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-11 | 4004 N. Riverside Dr., TAMPA, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-25 | Casper, Christopher | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-24 |
| AMENDED ANNUAL REPORT | 2019-10-03 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-25 |
| Florida Limited Liability | 2017-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
