| Entity Name: | COASTAL DETOX, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL DETOX, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Dec 2014 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Mar 2015 (10 years ago) |
| Document Number: | P14000098611 |
| FEI/EIN Number |
47-2527897
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1131 SE INDIAN STREET, STUART, FL, 34997, US |
| Mail Address: | 1131 SE INDIAN STREET, STUART, FL, 34997, US |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598130098 | 2015-12-09 | 2024-10-01 | 3007 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644, US | 1131 SE INDIAN ST, STUART, FL, 349975688, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-612-0130 |
Authorized person
| Name | CHRISTINA TUCKER |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7722191355 |
Taxonomy
| Taxonomy Code | 111NX0100X - Occupational Health Chiropractor |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 284300000X - Special Hospital |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300IS1B1IIGC6Y428 | P14000098611 | US-FL | GENERAL | ACTIVE | - | |||||||||||||||||||
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| Legal | C/O TUCKER, CHRISTINA, 1131 SE INDIAN STREET, STUART, US-FL, US, 34997 |
| Headquarters | 1131 SE Indian Street, Stuart, US-FL, US, 34997 |
Registration details
| Registration Date | 2020-03-10 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2021-02-05 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | P14000098611 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF COASTAL DETOX, INC. | 2023 | 472527897 | 2024-09-17 | COASTAL DETOX, INC. | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-17 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7722191355 |
| Plan sponsor’s address | 1131 SE INDIAN ST, STUART, FL, 34997 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-21 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7722191355 |
| Plan sponsor’s address | 3007 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-21 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7722191355 |
| Plan sponsor’s address | 3007 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-24 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7722191355 |
| Plan sponsor’s address | 3007 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-29 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7726170853 |
| Plan sponsor’s address | 1131 SE INDIAN ST, STUART, FL, 349975765 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-26 |
| Name of individual signing | WENDY RIVERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-11-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 7722191355 |
| Plan sponsor’s address | 1131 SE INDIAN ST., STUART, FL, 34997 |
Signature of
| Role | Plan administrator |
| Date | 2019-09-25 |
| Name of individual signing | VALLIRIE MOLINA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TUCKER CHRISTINA | Chief Executive Officer | 1131 SE INDIAN STREET, STUART, FL, 34997 |
| OGRADY JOSEPH | Vice President | 1131 SE INDIAN STREET, STUART, FL, 34997 |
| Crawford Dean | Director | 1131 SE INDIAN STREET, STUART, FL, 34997 |
| Crawford Laura | Director | 1131 SE INDIAN STREET, STUART, FL, 34997 |
| TUCKER CHRISTINA | Agent | 1131 SE INDIAN STREET, STUART, FL, 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-15 | 1131 SE INDIAN STREET, STUART, FL 34997 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-15 | 1131 SE INDIAN STREET, STUART, FL 34997 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-25 | 1131 SE INDIAN STREET, STUART, FL 34997 | - |
| AMENDMENT | 2015-03-02 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-15 |
| AMENDED ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2251667106 | 2020-04-10 | 0455 | PPP | 1131 SE Indian street, STUART, FL, 34997-5765 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4923648404 | 2021-02-07 | 0455 | PPS | 1131 SE Indian St, Stuart, FL, 34997-5765 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
