| Entity Name: | CHAMEN HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Apr 2021 (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: | L21000171492 |
| Address: | 729 DAYBREAK PL, LONGWOOD, FL 32750 |
| Mail Address: | 4300 W LAKE MARY BLVD, 1010 #208, LAKE MARY, FL 32746 |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154903862 | 2021-04-22 | 2021-04-22 | 4300 W LAKE MARY BLVD # 1010208, LAKE MARY, FL, 327462060, US | 729 DAYBREAK PL, LONGWOOD, FL, 327503219, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 910-723-9316 |
| Phone | +1 425-314-4941 |
Authorized person
| Name | ABDOU R CHAM |
| Role | OWNER |
| Phone | 9107239316 |
Taxonomy
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 311Z00000X - Custodial Care Facility |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332U00000X - Home Delivered Meals |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHAM, ABDOU R | Agent | 729 DAYBREAK PL, LONGWOOD, FL 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-04-13 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
