| Entity Name: | LHCG CLVI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2020 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 16 Nov 2023 (a year ago) |
| Document Number: | L20000008812 |
| FEI/EIN Number | 84-4829979 |
| Address: | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| Mail Address: | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639703218 | 2020-02-24 | 2020-07-21 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 1167 MIRANDA LN, KISSIMMEE, FL, 347410763, US | |||||||||||||||||||
|
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 407-931-0487 |
| Fax | 4079310161 |
Authorized person
| Name | NICHOLAS GACHASSIN III |
| Role | SEC/TREA |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Seymour Kimberly | Manager | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| Proffitt Joshua | Manager | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| Macip Marcus D | Manager | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000058497 | MEDERI CARETENDERS | ACTIVE | 2020-05-27 | 2025-12-31 | No data | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2023-11-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-16 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2024-04-20 |
| CORLCRACHG | 2023-11-16 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
