| Entity Name: | COASTAL GARDENS RECOVERY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 May 2022 (3 years ago) |
| Document Number: | L22000246681 |
| FEI/EIN Number | 882681877 |
| Address: | 3625 HIDDEN TREE LANE, fort myers, FL, 33901, US |
| Mail Address: | 300 TICE BOULEVARD, STE 179, WOODCLIFF LAKE, NJ, 07677, US |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598509812 | 2024-06-21 | 2024-06-21 | 3625 HIDDEN TREE LN, FORT MYERS, FL, 339018388, US | 3625 HIDDEN TREE LN, FORT MYERS, FL, 339018388, US | |||||||||||||
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| Phone | +1 239-666-1847 |
Authorized person
| Name | RAANAN DVIR |
| Role | CEO |
| Phone | 2036065984 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOKOR MICHAEL | Agent | 2870 STIRLING ROAD, HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| OMNI DALLAS PARTNERS LP | Manager | 300 TICE BOULEVARD, WOODCLIFF LAKE, NJ, 07677 |
| Name | Role | Address |
|---|---|---|
| CHERNS YISROEL | Auth | 300 TICE BOULEVARD, WOODCLIFF LAKE, NJ, 07677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000040344 | OASIS RECOVERY CENTER | ACTIVE | 2024-03-21 | 2029-12-31 | No data | 300 TICE BOULEVARD, SUITE 179, WOODCLIFF LAKES, NJ, 07677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-09 | 3625 HIDDEN TREE LANE, fort myers, FL 33901 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-25 | 3625 HIDDEN TREE LANE, fort myers, FL 33901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-05-12 |
| Florida Limited Liability | 2022-05-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
