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ATLANTIC CARE HOME HEALTH CLERMONT LLC - Florida Company Profile

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Company Details

Entity Name: ATLANTIC CARE HOME HEALTH CLERMONT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jul 2022 (3 years ago)
Document Number: L22000330634
FEI/EIN Number 88-3461412
Mail Address: 163 E. Morse Blvd, Winter Park, FL, 32789, US
Address: 13900 TECH CITY CIRCLE, SUITE 400, ALACHUA, FL, 32615, US
ZIP code: 32615
City: Alachua
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Role
Manager
Agent

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
JASON COONS
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P3372097

Unique Entity ID

Unique Entity ID:
JHGXVUH2ZSW1
CAGE Code:
100T6
UEI Expiration Date:
2026-02-19

Business Information

Activation Date:
2025-02-21
Initial Registration Date:
2025-02-11

Commercial and government entity program

CAGE number:
100T6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-21
CAGE Expiration:
2030-02-21
SAM Expiration:
2026-02-19

Contact Information

POC:
JASON T. COONS

National Provider Identifier

NPI Number:
1649906967
Certification Date:
2023-04-11

Authorized Person:

Name:
MARK GARDNER
Role:
VP OF NEW MARKETS
Phone:

Taxonomy:

Selected Taxonomy:
3747A0650X - Attendant Care Provider
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
4075598971

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-12-09 15430 COUNTY RD 565A, SUITE P, GROVELAND, FL 34736 -

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-02-06
Florida Limited Liability 2022-07-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State