| Entity Name: | CLAYTON HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Oct 2020 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000318430 |
| Address: | 6418 BLACK DAIRY ROAD, SEFFNER, FL 33584 |
| Mail Address: | 6418 BLACK DAIRY ROAD, SEFFNER, FL 33584 |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356935621 | 2021-02-26 | 2021-02-26 | 6418 BLACK DAIRY RD, SEFFNER, FL, 335842912, US | 6418 BLACK DAIRY RD, SEFFNER, FL, 335842912, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-399-4982 |
Authorized person
| Name | TIFFENY CLAYTON |
| Role | OWNER |
| Phone | 8133994982 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPIEGEL & UTRERA, PA. | Agent | 1840 SOUTHWEST 22ND STREET, 4TH FLOOR, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| CLAYTON, JENNIFFER C | Manager | 6418 BLACK DAIRY ROAD, SEFFNER, FL 33584 |
| CLAYTON, TIFFENY L | Manager | 6418 BLACK DIARY RD, SEFFNER, FL 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC STMNT OF RA/RO CHG | 2021-01-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-19 | SPIEGEL & UTRERA, PA. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-19 | 1840 SOUTHWEST 22ND STREET, 4TH FLOOR, MIAMI, FL 33145 | No data |
| LC AMENDMENT | 2021-01-15 | No data | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2021-01-19 |
| LC Amendment | 2021-01-15 |
| Florida Limited Liability | 2020-10-08 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
