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EVOLUTION REHAB, LLC

Company Details

Entity Name: EVOLUTION REHAB, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 02 Jan 2019 (6 years ago)
Date of dissolution: 24 Feb 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Feb 2022 (3 years ago)
Document Number: L19000003956
FEI/EIN Number 83-3067252
Address: 21839 HIGH PINE TRAIL, BOCA RATON, FL 33428
Mail Address: 21839 HIGH PINE TRAIL, BOCA RATON, FL 33428
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730653015 2019-01-19 2020-07-03 21839 HIGH PINE TRL, BOCA RATON, FL, 334283049, US 21839 HIGH PINE TRL, BOCA RATON, FL, 334283049, US

Contacts

Phone +1 561-891-6911
Phone +1 561-891-6011

Authorized person

Name TATIANA PES
Role MEMBER
Phone 5618916911

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

Agent

Name Role Address
PES, TATIANA Agent 21839 HIGH PINE TRAIL, BOCA RATON, FL 33428

Manager

Name Role Address
PES, TATIANA Manager 21839 HIGH PINE TRAIL, BOCA RATON, FL 33428
OLIVEIRA SANTOS JR, DANIEL Manager 21839 HIGH PINE TRAIL, BOCA RATON, FL 33428

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-24 No data No data
REINSTATEMENT 2021-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2021-09-28 PES, TATIANA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-24
REINSTATEMENT 2021-09-28
ANNUAL REPORT 2020-02-27
Florida Limited Liability 2019-01-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2451457303 2020-04-29 0455 PPP 21839 HIGH PINE TRL, BOCA RATON, FL, 33428-3049
Loan Status Date -
Loan Status Exemption 4
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 6250
Loan Approval Amount (current) 16041
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address BOCA RATON, PALM BEACH, FL, 33428-3049
Project Congressional District FL-23
Number of Employees 1
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1057.22
Forgiveness Paid Date 2021-12-02

Date of last update: 16 Feb 2025

Sources: Florida Department of State