| Entity Name: | NORTHSTAR COLLABORATIVE HEALTH INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Dec 2014 (10 years ago) |
| Date of dissolution: | 23 Jul 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jul 2019 (6 years ago) |
| Document Number: | P15000000051 |
| FEI/EIN Number | 47-2524538 |
| Address: | 11382 PROSPERITY RD., SUITE 225, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 11382 PROSPERITY RD., SUITE 225, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982099826 | 2015-03-30 | 2015-03-30 | 11382 PROSPERITY FARMS RD, 224, PALM BEACH GARDENS, FL, 334103463, US | 11382 PROSPERITY FARMS RD, 224, PALM BEACH GARDENS, FL, 334103463, US | |||||||||||||
|
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| Phone | +1 561-376-7271 |
Authorized person
| Name | JAMES O HILL |
| Role | CEO |
| Phone | 5613767271 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HILL, JAMES O, DR. | Agent | 4599 SE HALSTON CT, STUART, FL 34997 |
| Name | Role | Address |
|---|---|---|
| RIOS, ARMANDO | Chief Operating Officer | 11382 PROSPERITY RD., SUITE 225 PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| HILL, JAMES O, II | President | 4599 SE HALSTON CT, STUART, FL 34997 |
| Name | Role | Address |
|---|---|---|
| HILL, JAMES O, II | Chief Executive Officer | 4599 SE HALSTON CT, STUART, FL 34997 |
| Name | Role | Address |
|---|---|---|
| HILL, ANNTONETTE | Secretary | 4599 SE HALSTON CT, STUART, FL 34997 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000021412 | NORTH STAR TREATMENT CENTER | EXPIRED | 2015-02-27 | 2020-12-31 | No data | 11382 PROSPERITY FARMS ROAD, SUITE 224, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-07-23 | No data | No data |
| AMENDMENT | 2018-07-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-29 | 11382 PROSPERITY RD., SUITE 225, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-29 | 11382 PROSPERITY RD., SUITE 225, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-13 | 4599 SE HALSTON CT, STUART, FL 34997 | No data |
| AMENDMENT | 2016-07-05 | No data | No data |
| AMENDMENT | 2016-03-21 | No data | No data |
| AMENDMENT | 2015-11-02 | No data | No data |
| AMENDMENT | 2015-04-27 | No data | No data |
| REVOCATION OF VOLUNTARY DISSOLUT | 2015-04-06 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-07-23 |
| Amendment | 2018-07-03 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-09 |
| Amendment | 2016-07-05 |
| Amendment | 2016-03-21 |
| ANNUAL REPORT | 2016-03-11 |
| Amendment | 2015-11-02 |
| Amendment | 2015-04-27 |
| Revocation of Dissolution | 2015-04-06 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
