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COMPASSIONATE HEALTH OF CLERMONT LLC

Company Details

Entity Name: COMPASSIONATE HEALTH OF CLERMONT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Dec 2021 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Nov 2022 (2 years ago)
Document Number: L21000531771
FEI/EIN Number 87-4044049
Address: 9350 us hwy 192, clermont, FL 34714
Mail Address: 9350 us hwy 192, clermont, FL 34714
ZIP code: 34714
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043954571 2022-04-21 2022-11-14 9350 US HIGHWAY 192 STE 104, CLERMONT, FL, 347148231, US 9350 US HIGHWAY 192 STE 104, CLERMONT, FL, 347148231, US

Contacts

Phone +1 863-256-5206
Fax 8639130534

Authorized person

Name JHENELLE LAWSON
Role OWNER
Phone 8632565206

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
LAWSON-RILEY, JHENELLE Agent 897 BROOKLETT DRIVE, DAVENPORT, FL 33837

Manager

Name Role Address
LAWSON-RILEY, JHENELLE Manager 897 BROOKLET DRIVE, DAVENPORT, FL 33837
JACKSON, DWIGHT Manager 9350 US HWY 192, Suite 104 CLERMONT, FL 34714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000172206 COMPASSIONATE HEALTH CARE AGENCY ACTIVE 2021-12-28 2026-12-31 No data 9350 US HWY 192, STE 104, CLERMONT, FL, 34714

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-11-14 No data No data
LC AMENDMENT AND NAME CHANGE 2022-05-23 COMPASSIONATE HEALTH OF CLERMONT LLC No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-25 9350 us hwy 192, clermont, FL 34714 No data
CHANGE OF MAILING ADDRESS 2022-04-25 9350 us hwy 192, clermont, FL 34714 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-01-03
LC Amendment 2022-11-14
LC Amendment and Name Change 2022-05-23
ANNUAL REPORT 2022-04-18
Florida Limited Liability 2021-12-17

Date of last update: 13 Jan 2025

Sources: Florida Department of State