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CLEAN COOKIE LLC

Company Details

Entity Name: CLEAN COOKIE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 08 May 2019 (6 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L19000124496
Address: 1023 OLD VILLAGE WAY, OLDSMAR, FL, 34677
Mail Address: 1023 OLD VILLAGE WAY, OLDSMAR, FL, 34677
ZIP code: 34677
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003458910 2019-10-11 2019-10-11 6518 STONE RD, PORT RICHEY, FL, 346684860, US 6518 STONE RD, PORT RICHEY, FL, 346684860, US

Contacts

Phone +1 727-225-6286

Authorized person

Name TIA KETTER
Role RN
Phone 7272256286

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No

Agent

Name Role Address
KETTER TIA M Agent 1023 OLD VILLAGE WAY, OLDSMAR, FL, 34677

Manager

Name Role Address
KETTER TIA Manager 1023 OLD VILLAGE WAY, OLDSMAR, FL, 34677

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
Florida Limited Liability 2019-05-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State