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TIDES EDGE RECOVERY SERVICES, LLC

Company Details

Entity Name: TIDES EDGE RECOVERY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Apr 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Mar 2018 (7 years ago)
Document Number: L17000088712
FEI/EIN Number 82-1289698
Address: 1597 THE GREENS WAY, JACKSONVILLE BEACH, FL 32250
Mail Address: 1597 THE GREENS WAY, JACKSONVILLE BEACH, FL 32250
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891529871 2024-08-30 2024-08-30 75 12TH ST S, JACKSONVILLE, FL, 322503422, US 142 11TH AVE N STE A, JACKSONVILLE BEACH, FL, 322507224, US

Contacts

Phone +1 904-685-9083

Authorized person

Name PATRICIA YOST
Role VICE PRESIDENT
Phone 9047786161

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary Yes

Agent

Name Role Address
Hanan, John Agent 390 16TH AVE S, JACKSONVILLE BEACH, FL 32250-4961

Owner

Name Role Address
Hanan, John Owner 390 16TH AVE S, JACKSONVILLE BEACH, FL 32250-4961

Manager

Name Role Address
Hanan, John Manager 390 16TH AVE S, JACKSONVILLE BEACH, FL 32250-4961

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-12-12 Hanan, John No data
REGISTERED AGENT ADDRESS CHANGED 2019-07-19 390 16TH AVE S, JACKSONVILLE BEACH, FL 32250-4961 No data
LC AMENDMENT 2018-03-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-17
AMENDED ANNUAL REPORT 2019-12-12
AMENDED ANNUAL REPORT 2019-11-04
AMENDED ANNUAL REPORT 2019-07-19
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-21

Date of last update: 19 Jan 2025

Sources: Florida Department of State