| Entity Name: | VERO BEACH RECOVERY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Nov 2022 (2 years ago) |
| Document Number: | L21000043203 |
| FEI/EIN Number | 86-1928446 |
| Address: | 333 17TH STREET, SUITE M, VERO BEACH, FL, 32960, US |
| Mail Address: | 333 17TH STREET, SUITE M, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710558713 | 2021-07-09 | 2023-03-09 | 333 17TH ST STE M, VERO BEACH, FL, 329605686, US | 333 17TH ST STE M, VERO BEACH, FL, 329605686, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-584-3083 |
| Fax | 7722183003 |
| Phone | +1 215-356-2043 |
Authorized person
| Name | DR. THERESA A PRESCOTT |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 2153562043 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VERO BEACH RECOVERY CENTER LLC 401(K) PLAN | 2023 | 861928446 | 2024-08-14 | VERO BEACH RECOVERY CENTER LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-14 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 7722031858 |
| Plan sponsor’s address | 333 17TH STREET SUITE J., VERO BEACH., FL, 32960 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-14 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VELIS KOSTA | Agent | 333 17TH STREET, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| PRESCOTT THERESA ADO | Manager | 333 17TH STREET, VERO BEACH, FL, 32960 |
| VELIS KOSTA | Manager | 333 17TH STREET, VERO BEACH, FL, 32960 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000115801 | TREASURE COAST DETOX | ACTIVE | 2024-09-16 | 2029-12-31 | No data | 333 17TH ST, SUITE M, VERO BEACH, FL, 32960 |
| G21000087657 | VBRC | ACTIVE | 2021-07-01 | 2026-12-31 | No data | 333 17TH STREET, SUITE J, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-21 | 333 17TH STREET, STE M, VERO BEACH, FL 32960 | No data |
| LC AMENDMENT | 2022-11-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-16 | 333 17TH STREET, SUITE M, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-16 | 333 17TH STREET, SUITE M, VERO BEACH, FL 32960 | No data |
| LC AMENDMENT | 2022-03-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-08 | VELIS, KOSTA | No data |
| LC AMENDMENT | 2021-03-16 | No data | No data |
| LC AMENDMENT | 2021-03-15 | No data | No data |
| LC AMENDMENT | 2021-02-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-21 |
| LC Amendment | 2022-11-16 |
| LC Amendment | 2022-03-08 |
| ANNUAL REPORT | 2022-01-26 |
| LC Amendment | 2021-03-16 |
| LC Amendment | 2021-03-15 |
| LC Amendment | 2021-02-12 |
| Florida Limited Liability | 2021-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
