| Entity Name: | ASPEN BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Aug 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Jun 2024 (7 months ago) |
| Document Number: | L20000245170 |
| FEI/EIN Number | 85-2299225 |
| Address: | 900 OSCEOLA DRIVE, WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 900 Osceola Dr, West Palm Beach, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467236075 | 2023-08-23 | 2024-07-24 | 642 W RAMBLING DR, WELLINGTON, FL, 334145024, US | 642 W RAMBLING DR, WELLINGTON, FL, 334145024, US | |||||||||||||||
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| Phone | +1 561-502-4720 |
| Fax | 5615320050 |
Authorized person
| Name | DR. BIANCA S GERENA |
| Role | UR AND CREDENTIALING |
| Phone | 5615024720 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GALI SUSAN | Agent | 2415 STERLING ROAD, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| NOJOWITZ KASRIEL | Authorized Member | 279 OAKLAEY AVENUE, LONG BRANCH, NJ, 07740 |
| HILLEL DAVID | Authorized Member | 210 LENOX AVENUE, LONG BRANCH, NJ, 07740 |
| ADELMAN JACOB | Authorized Member | 1440BEACH 5TH STREET UNIT B, FAR ROCKAWAY, NY, 11691 |
| ADELMAN MOSHE | Authorized Member | 11 STRYKER STREET, BROOKLYN, NY, 11223 |
| ADELAMN HILLEL | Authorized Member | 4201 NW 4TH AVENUE, BOCA RATON, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000132137 | ASPEN BEHAVIORAL HEALTH | ACTIVE | 2023-10-26 | 2028-12-31 | No data | 642 WEST RAMBLING DRIVE, WELLINGTON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-06-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-18 | 900 OSCEOLA DRIVE, UNITS 200 A/B AND UNITS 300 A/B, UNIT 108, WEST PALM BEACH, FL 33409 | No data |
| LC AMENDMENT | 2022-02-22 | No data | No data |
| LC AMENDMENT | 2021-09-13 | No data | No data |
| LC AMENDMENT | 2021-05-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 900 OSCEOLA DRIVE, UNITS 200 A/B AND UNITS 300 A/B, UNIT 108, WEST PALM BEACH, FL 33409 | No data |
| LC AMENDMENT | 2020-10-06 | No data | No data |
| LC AMENDMENT | 2020-09-21 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-06-24 |
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-07-18 |
| LC Amendment | 2022-02-22 |
| LC Amendment | 2021-09-13 |
| LC Amendment | 2021-05-24 |
| ANNUAL REPORT | 2021-04-29 |
| LC Amendment | 2020-10-06 |
| LC Amendment | 2020-09-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
