| Entity Name: | BEACHSIDE DETOX, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 May 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Oct 2020 (4 years ago) |
| Document Number: | L17000106016 |
| FEI/EIN Number | 32-0532792 |
| Address: | 1101 54th Street, West Palm Beach, FL 34950 |
| Mail Address: | 1101 54th Street, West Palm Beach, FL 34950 |
| ZIP code: | 34950 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598272098 | 2018-01-05 | 2021-09-10 | 1101 54TH ST, WEST PALM BEACH, FL, 334072419, US | 1101 54TH ST, WEST PALM BEACH, FL, 334072419, US | |||||||||||||||||||
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| Phone | +1 561-365-3758 |
| Fax | 7724484029 |
Authorized person
| Name | ANNEMARIE SINCAVAGE |
| Role | CFO |
| Phone | 5619014923 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | CERT-COMP-1001474 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEACHSIDE DETOX LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 320532792 | 2021-05-11 | BEACHSIDE DETOX LLC | 40 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES |
| Plan administrator’s address | 1373 VETERAN'S MEMORIAL HWY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-11 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| OH MARKETING SERVICES, INC | Agent |
| Name | Role | Address |
|---|---|---|
| WELLINGTON, IMELDA | Authorized Member | 1101 54th Street, West Palm Beach, FL 33407 |
| HOLMES, OLIVIA | Authorized Member | 1101 54th Street, West Palm Beach, FL 33407 |
| SINCAVAGE, ANNE MARIE | Authorized Member | 1101 54th Street, West Palm Beach, FL 33407 |
| HOLMES, ROGAN | Authorized Member | 1101 54th Street, West Palm Beach, FL 33407 |
| Name | Role | Address |
|---|---|---|
| WELLINGTON, IMELDA | Manager | 1101 54th Street, West Palm Beach, FL 33407 |
| HOLMES, OLIVIA | Manager | 1101 54th Street, West Palm Beach, FL 33407 |
| SINCAVAGE, ANNE MARIE | Manager | 1101 54th Street, West Palm Beach, FL 33407 |
| HOLMES, ROGAN | Manager | 1101 54th Street, West Palm Beach, FL 33407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000033450 | BEACHSIDE RECOVERY RESIDENCE | ACTIVE | 2021-03-10 | 2026-12-31 | No data | 1101 54TH STREET, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-11 | 1101 54th Street, West Palm Beach, FL 34950 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-11 | 1101 54th Street, West Palm Beach, FL 34950 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-06 | 1101 54th Street, WEST PALM BEACH, FL 33407 | No data |
| LC AMENDMENT | 2020-10-23 | No data | No data |
| LC AMENDMENT | 2018-02-23 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-12-05 | BEACHSIDE DETOX, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-05 | OH MARKETING SERVICES, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-06 |
| LC Amendment | 2020-10-23 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-10 |
| LC Amendment | 2018-02-23 |
| LC Amendment and Name Change | 2017-12-05 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
