| Entity Name: | LIFESPAN PSYCHIATRIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIFESPAN PSYCHIATRIC CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Jan 2017 (8 years ago) |
| Document Number: | L17000019682 |
| FEI/EIN Number |
81-5143559
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12765 Forest Hill Blvd., Wellington, FL, 33414, US |
| Mail Address: | 12765 Forest Hill Blvd., Wellington, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952828790 | 2017-08-23 | 2017-08-23 | 701 S OLIVE AVE APT 407, WEST PALM BEACH, FL, 334016195, US | 4800 LINTON BLVD STE D502A, DELRAY BEACH, FL, 334456593, US | |||||||||||||||||||||
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| Phone | +1 561-307-7745 |
| Phone | +1 561-808-7205 |
| Fax | 5615846804 |
Authorized person
| Name | NICHOLAS J JACKSON |
| Role | OWNER |
| Phone | 5613077745 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | 9294269 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACKSON NICHOLAS | Authorized Representative | 701 SOUTH OLIVE AVE, WEST PALM BEACH, FL, 33401 |
| JACKSON NICHOLAS J | Agent | 701 SOUTH OLIVE AVE, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-26 | 12765 Forest Hill Blvd., Suite 1309, Wellington, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2022-07-26 | 12765 Forest Hill Blvd., Suite 1309, Wellington, FL 33414 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-26 | 701 SOUTH OLIVE AVE, 407, WEST PALM BEACH, FL 33401 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-03 |
| AMENDED ANNUAL REPORT | 2022-07-26 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-05-21 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-07-06 |
| Florida Limited Liability | 2017-01-25 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
