| 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 |
| Address: | 15430 COUNTY RD 565A, SUITE P, GROVELAND, FL, 34736, US |
| Mail Address: | 163 E. Morse Blvd, Winter Park, FL, 32789, US |
| ZIP code: | 34736 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649906967 | 2022-07-28 | 2023-04-11 | 1845 OAK LN, ORLANDO, FL, 328031533, US | 15430 COUNTY ROAD 565A STE P, GROVELAND, FL, 347368243, US | |||||||||||||||||||
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| Phone | +1 407-484-2972 |
| Fax | 4075598971 |
Authorized person
| Name | MARK GARDNER |
| Role | VP OF NEW MARKETS |
| Phone | 4077397043 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COONS JASON | Agent | 1845 OAK LANE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| COONS JASON | Manager | 1845 OAK LANE, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-09 | 15430 COUNTY RD 565A, SUITE P, GROVELAND, FL 34736 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-02-06 |
| Florida Limited Liability | 2022-07-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
