| Entity Name: | SUNCOAST NEW OPTIONS FREDERICK AVENUE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Apr 2021 (4 years ago) |
| Document Number: | L21000135631 |
| FEI/EIN Number | 86-3436704 |
| Mail Address: | 4510 NW 6th Place, 1st Floor, Suite B, Gainesville, FL 32607 |
| Address: | 325 Frederick Avenue, Daytona Beach, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528640166 | 2021-04-23 | 2021-04-23 | 6531 MERIDIEN DR STE 103, RALEIGH, NC, 276163213, US | 325 N FREDERICK AVE, DAYTONA BEACH, FL, 321142909, US | |||||||||||||
|
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| Phone | +1 919-390-2980 |
Authorized person
| Name | MARY JOHNS BENSON |
| Role | DIRECTOR OF BILLING |
| Phone | 3365535946 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| GROUP HOME HOLDINGS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 325 Frederick Avenue, Daytona Beach, FL 32114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-09 | 325 Frederick Avenue, Daytona Beach, FL 32114 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| AMENDED ANNUAL REPORT | 2023-06-09 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-04-01 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
