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CLUB COMMUNITY CARE LLC - Florida Company Profile

Company Details

Entity Name: CLUB COMMUNITY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CLUB COMMUNITY CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Nov 2020 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 May 2022 (3 years ago)
Document Number: L20000340858
FEI/EIN Number 85-3808052

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3752 SW County Road 18, Fort White, FL, 32038, US
Mail Address: 3752 SW County Road 18, Fort White, FL, 32038, US
ZIP code: 32038
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982200382 2020-12-10 2020-12-10 164 NW MADISON ST, LAKE CITY, FL, 320553904, US 164 NW MADISON ST, LAKE CITY, FL, 320553904, US

Contacts

Phone +1 786-587-9814

Authorized person

Name DAMARY DIAZ HERNANDEZ
Role PRESIDENT
Phone 7864971134

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Key Officers & Management

Name Role Address
perez DAMARY Authorized Member 3752 SW County Road 18, Fort White, FL, 32038
Perez DAMARY Agent 3752 SW County Road 18, Fort White, FL, 32038

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 3752 SW County Road 18, Fort White, FL 32038 -
CHANGE OF MAILING ADDRESS 2024-04-30 3752 SW County Road 18, Fort White, FL 32038 -
REGISTERED AGENT NAME CHANGED 2024-04-30 Perez, DAMARY -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 3752 SW County Road 18, Fort White, FL 32038 -
LC AMENDMENT 2022-05-10 - -
LC AMENDMENT 2020-12-11 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
LC Amendment 2022-05-10
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-04-30
LC Amendment 2020-12-11
Florida Limited Liability 2020-11-05

Date of last update: 03 Mar 2025

Sources: Florida Department of State