| Entity Name: | EGAN CLEARWATER HEALTH,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Sep 2023 (a year ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 08 Nov 2023 (a year ago) |
| Document Number: | L23000421293 |
| FEI/EIN Number | 933432671 |
| Address: | 19321 US HWY 19 N SUITE 417, CLEARWATER, FL, 33764, UN |
| Mail Address: | 4911 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT, 84009, UN |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053199604 | 2023-09-15 | 2023-09-15 | 19321 US HIGHWAY 19 N, CLEARWATER, FL, 337643169, US | 19321 US HIGHWAY 19 N, CLEARWATER, FL, 337643169, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 801-360-7973 |
Authorized person
| Name | BRENT H EGAN |
| Role | OWNER/ PRESIDENT |
| Phone | 8013607973 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EGAN FANNY L | Agent | 6916 NEOPOLITAN COURT, APOLLO BEACH, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| EGAN BRENT H | Authorized Member | 3051 W MAPLE LOOP DR STE 125, LEHI, UT, 84043 |
| EGAN FANNY L | Authorized Member | 3051 W MAPLE LOOP DR STE 125, LEHI, UT, 84043 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000133346 | INTERIM HEALTHCARE OF CLEARWATER | ACTIVE | 2023-10-30 | 2028-12-31 | No data | 4911 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT, 84009--606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-11-08 | EGAN CLEARWATER HEALTH,LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| LC Name Change | 2023-11-08 |
| Florida Limited Liability | 2023-09-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
