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CLEMONS GROUP HOME LLC - Florida Company Profile

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Company Details

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
City: Plant City
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIMPSON CASSANDRA V Manager 210 S. PARSONS AVE. SUITE 9, BRANDON, FL, 33511
- Agent -

National Provider Identifier

NPI Number:
1811612674
Certification Date:
2022-10-04

Authorized Person:

Name:
CASSANDRA VIRGINIA SIMPSON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
8136022388

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-28 FOCUS 9 ENTERPRISES LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-28
Florida Limited Liability 2022-06-06

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Date of last update: 02 Aug 2025

Sources: Florida Department of State