| Entity Name: | CLEAR PATHWAYS FOR INDEPENDENCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2017 (8 years ago) |
| Document Number: | L17000159521 |
| FEI/EIN Number | 82-2281387 |
| Address: | 7724 Lynchburg court west, NA, JACKSONVILLE, FL, 32277, US |
| Mail Address: | 3056 W.1st Street, NA, JACKSONVILLE, FL, 32254, US |
| ZIP code: | 32277 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639683360 | 2017-11-16 | 2023-01-23 | 3056 W 1ST ST, JACKSONVILLE, FL, 322542539, US | 7724 LYNCHBURG CT W # NA, JACKSONVILLE, FL, 322770928, US | |||||||||||||||||||||||||||
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| Phone | +1 904-994-1113 |
Authorized person
| Name | MS. STEPHANIE L BELLAMY |
| Role | OWNER |
| Phone | 9049941113 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| License Number | 142571496 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142571496 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELLAMY STEPHANIE L | Agent | 3056 W. 1ST STREET, JACKSONVILLE, FL, 32254 |
| Name | Role | Address |
|---|---|---|
| BELLAMY STEPHANIE L | Authorized Representative | 7724 LYNCHBURG COURT WEST, JACKSONVILLE, FL, 32277 |
| Name | Role | Address |
|---|---|---|
| FOSTER VALERIE | Manager | 7724 Lynchburg court west, JACKSONVILLE, FL, 32277 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-17 | 7724 Lynchburg court west, NA, JACKSONVILLE, FL 32277 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-17 | 7724 Lynchburg court west, NA, JACKSONVILLE, FL 32277 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-22 | 3056 W. 1ST STREET, NA, JACKSONVILLE, FL 32254 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-07-12 |
| AMENDED ANNUAL REPORT | 2022-06-17 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-17 |
| Florida Limited Liability | 2017-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
