| Entity Name: | PHPTS OF ORMOND BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Oct 2016 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 20 Sep 2019 (5 years ago) |
| Document Number: | M16000008299 |
| FEI/EIN Number | 81-4159040 |
| Address: | 103 Powell Court, Suite 100, Brentwood, TN 37027 |
| Mail Address: | 103 Powell Court, Suite 100, Brentwood, TN 37027 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457898744 | 2017-01-24 | 2022-03-07 | PO BOX 207983, DALLAS, TX, 753207983, US | 515 TOMOKA AVE, ORMOND BEACH, FL, 321746133, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 281-506-0831 |
Authorized person
| Name | SCOTT M. SASSERSON |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9319948001 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Promises Behavioral Health, LLC f/k/a PB Behavioral Health, LLC | Authorized Member | 103 Powell Court, Suite 100 Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Sasserson, Scott | Chief Executive Officer | 103 Powell Court, Suite 100 Brentwood, TN 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000009813 | 5PALMS OF ORMOND BEACH | ACTIVE | 2017-01-26 | 2027-12-31 | No data | 515 TOMOKA AVENUE, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-28 | 103 Powell Court, Suite 100, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-28 | 103 Powell Court, Suite 100, Brentwood, TN 37027 | No data |
| LC STMNT OF RA/RO CHG | 2019-09-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-20 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-20 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC AMENDMENT | 2018-09-17 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-30 |
| LC Amendment | 2018-09-17 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
