Entity Name: | SUNVIEW MEDICAL DAY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Apr 2021 (4 years ago) |
Document Number: | L21000178959 |
FEI/EIN Number | 86-3468727 |
Address: | 150 AIRPORT RD STE 900, LAKEWOOD, NJ 08701 |
Mail Address: | 150 AIRPORT RD STE 900, LAKEWOOD, NJ 08701 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326620667 | 2021-04-26 | 2023-06-30 | 150 AIRPORT RD STE 900, LAKEWOOD, NJ, 087016988, US | 4802 EAST AVE, WEST PALM BEACH, FL, 334072426, US | |||||||||||||||||||||||||||||||
|
Phone | +1 516-668-9675 |
Fax | 7323703013 |
Phone | +1 732-370-4030 |
Authorized person
Name | CHAIM ROTTENBERG |
Role | CEO |
Phone | 3475225970 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 110710100 |
State | FL |
Name | Role |
---|---|
VCORP SERVICES, LLC | Agent |
Name | Role | Address |
---|---|---|
Rottenberg, Chaim | Member | 150 AIRPORT RD STE 900, LAKEWOOD, NJ 08701 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000020535 | SUNVIEW WELLNESS | ACTIVE | 2023-02-13 | 2028-12-31 | No data | 4802 EAST AVE, WEST PALM BEACH, FL, 33407 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2022-01-20 | 1200 S PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-07 |
ANNUAL REPORT | 2024-02-20 |
ANNUAL REPORT | 2023-02-20 |
ANNUAL REPORT | 2022-02-11 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State