| Entity Name: | OUTREACH RECOVERY II, 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: | 05 Apr 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | M21000003877 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4201 NORTHVIEW DR. #104, BOWIE, MD, 20716, US |
| Mail Address: | 4201 NORTHVIEW DR. #104, BOWIE, MD, 20716, US |
| Place of Formation: | MARYLAND |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720668049 | 2021-04-12 | 2021-04-12 | 4201 NORTHVIEW DR STE 104, BOWIE, MD, 207162655, US | 801 SE 6TH AVE STE 202C, DELRAY BEACH, FL, 334835185, US | |||||||||||||||||||||||||||
|
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| Phone | +1 410-800-4466 |
Authorized person
| Name | ISIAH COLES |
| Role | COO |
| Phone | 5615023978 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100142379 |
| State | MD |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENTS INC | Agent | - |
| ABDESHAHIAN EHSAN | Authorized Person | 774 GIRARD ST. NW #7W, WASHINGTON, DC, 20001 |
| FREAS DAMEAN | Member | 1705 MISSION RIDGE RD., ANNAPOLIS, MD, 21401 |
| LEE YOUNG | Member | 6 CARLTON LN., VORHEES, NJ, 08043 |
| THAM WILLIAM | Member | 786 SONNE DR., ANNAPOLIS, MD, 21401 |
| PUREWAL MITES | Member | 200 W. HARTRANTH BLVD., NORRISTOWN, PA, 19401 |
| PUREWAL UPLEKH | Member | 200 W. HARTRANTH BLVD., NORRISTOWN, PA, 19401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-11 |
| Foreign Limited | 2021-04-05 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
