| Entity Name: | CLEMONS GROUP HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jun 2022 (3 years ago) |
| Document Number: | L22000259215 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | PO BOX 963, VALRICO, FL, 33595, US |
| Address: | 3111 CLEMONS ROAD, PLANT CITY, FL, 33566, US |
| ZIP code: | 33566 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811612674 | 2022-10-04 | 2022-10-04 | 3111 CLEMONS RD, PLANT CITY, FL, 335664643, US | 3111 CLEMONS RD, PLANT CITY, FL, 335664643, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-810-6844 |
| Fax | 8136022388 |
Authorized person
| Name | CASSANDRA VIRGINIA SIMPSON |
| Role | ADMINISTRATOR |
| Phone | 8138106844 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| FOCUS 9 ENTERPRISES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SIMPSON CASSANDRA V | Manager | 210 S. PARSONS AVE. SUITE 9, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | FOCUS 9 ENTERPRISES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
