| Entity Name: | FALLING LEAVES RECOVERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 11 Dec 2015 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | M15000009938 |
| FEI/EIN Number |
475310800
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5079 N DIXIE HWY, STE. 198, FORT LAUDERDALE, FL, 33334, US |
| Mail Address: | 5079 N DIXIE HWY, STE. 198, FORT LAUDERDALE, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346698693 | 2016-05-26 | 2022-07-21 | 5079 N DIXIE HWY, 198, OAKLAND PARK, FL, 333344000, US | 15485 EAGLE NEST LN, SUITE 210 & 230, MIAMI LAKES, FL, 330142247, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-332-2218 |
| Fax | 9543573624 |
| Fax | 7863324994 |
Authorized person
| Name | MARK SHEPPARD |
| Role | CFO |
| Phone | 8322893350 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 1302 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| License Number | 1302 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2122335 |
| State | FL |
| Issuer | BCBS |
| Number | YGC |
| State | FL |
| Issuer | BCBS GROUP ID |
| Number | Z4YG9 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHEPPARD MARK | Manager | 5079 N DIXIE HWY, STE. 198, FORT LAUDERDALE, FL, 33334 |
| SHEPPARD MARK | Agent | 5079 N DIXIE HWY, STE. 198, FORT LAUDERDALE, FL, 33334 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000130289 | FALLEN LEAVES RECOVERY | EXPIRED | 2015-12-24 | 2020-12-31 | - | 5679 N. DIXIE HWY., SUITE 198, FORT LAUDERDALE, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REINSTATEMENT | 2017-11-10 | - | - |
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REINSTATEMENT | 2016-12-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-12-22 | SHEPPARD, MARK | - |
| REVOKED FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-11-10 |
| REINSTATEMENT | 2016-12-22 |
| Foreign Limited | 2015-12-11 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
