| Entity Name: | DIGNITY HEALING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Dec 2019 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 14 Oct 2021 (3 years ago) |
| Document Number: | L20000003016 |
| FEI/EIN Number | 84-4178336 |
| Address: | 120 STATE MARKET ROAD, PAHOKEE, FL, 33476, US |
| Mail Address: | 120 STATE MARKET ROAD, PAHOKEE, FL, 33476, US |
| ZIP code: | 33476 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528698321 | 2020-01-21 | 2024-09-10 | 1615 S CONGRESS AVE STE 100, DELRAY BEACH, FL, 334456326, US | 120 STATE MARKET RD, PAHOKEE, FL, 334761542, US | |||||||||||||||||||||
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| Phone | +1 561-876-1498 |
Authorized person
| Name | JESSICA TATICH |
| Role | PROJECT MANAGER |
| Phone | 6026539877 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIGNITY HEALING LLC 401(K) PLAN | 2023 | 844178336 | 2024-10-02 | DIGNITY HEALING LLC | 25 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ADAM BHAIJEE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-08-01 |
| Business code | 561420 |
| Sponsor’s telephone number | 5617715446 |
| Plan sponsor’s address | 120 STATE MARKET STREET, PAHOKEE, FL, 33437 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | ADAM BHAIJEE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-08-01 |
| Business code | 561420 |
| Sponsor’s telephone number | 5617715446 |
| Plan sponsor’s address | 120 STATE MARKET STREET, PAHOKEE, FL, 33437 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-16 |
| Name of individual signing | ADAM BHAIJEE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-08-01 |
| Business code | 561420 |
| Sponsor’s telephone number | 5617715446 |
| Plan sponsor’s address | 120 STATE MARKET STREET, PAHOKEE, FL, 33437 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-16 |
| Name of individual signing | ADAM BHAIJEE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| ZINNIA HEALTH LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000111846 | ZINNIA HEALTH LAKE OKEECHOBEE | ACTIVE | 2023-09-12 | 2028-12-31 | No data | 120 STATE MARKET RD, PAHOKEE, FL, 33476 |
| G23000085895 | ZINNIA HEALING LAKE OKEECHOBEE | ACTIVE | 2023-07-21 | 2028-12-31 | No data | 120 STATE MARKET RD, PAHOKEE, FL, 33476 |
| G22000114616 | ZINNIA HEALING LAKE OLEECHOBEE | ACTIVE | 2022-09-13 | 2027-12-31 | No data | 120 STATE MARKET ROAD, PAHOKEE, FL, 33476 |
| G22000114611 | ZINNIA HEALING DEERFIELD BEACH | ACTIVE | 2022-09-13 | 2027-12-31 | No data | 1000 E. HILLSBORO BLVD,STE 103, DEERFIELD BEACH, FL, 33441 |
| G22000013036 | CRYSTAL LAKE HEALING | ACTIVE | 2022-02-01 | 2027-12-31 | No data | 1000 E HILLSBORO BLVD,STE 103, DEERRFIELD BEACH, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2021-10-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-14 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-14 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-18 | 120 STATE MARKET ROAD, PAHOKEE, FL 33476 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-18 | 120 STATE MARKET ROAD, PAHOKEE, FL 33476 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-25 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-04-29 |
| CORLCRACHG | 2021-10-14 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-07-15 |
| Florida Limited Liability | 2019-12-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
