| Entity Name: | CLASSIC HOME HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Sep 2001 (23 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P01000095116 |
| FEI/EIN Number | 593742449 |
| Address: | 1504 SOUTH STREET, LEESBURG, FL, 34748, US |
| Mail Address: | 1504 SOUTH STREET, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740372275 | 2006-09-29 | 2007-08-02 | PO BOX 400, SUMTERVILLE, FL, 335850400, US | 2294 COUNTY ROAD 526 E, SUMTERVILLE, FL, 335855178, US | |||||||||||||||||||||||
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| Phone | +1 352-568-8200 |
| Fax | 3525688202 |
Authorized person
| Name | MS. NANCY GRAVES-THOMAS |
| Role | ADMINISTRATOR |
| Phone | 3525688200 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSFL PROVIDER NUMBER |
| Number | JI9 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN DIRAN | Agent | 2706 CYPRESS LANE, WESTON, FL, 33335 |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN DIRAN | President | 2706 CYPRESS LANE, WESTON, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN DIRAN | Treasurer | 2706 CYPRESS LANE, WESTON, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN DIRAN | Director | 2706 CYPRESS LANE, WESTON, FL, 33332 |
| DEVLETIAN MARIA T | Director | 2706 CYPRESS LANE, WESTON, FL, 33335 |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN MARIA T | Vice President | 2706 CYPRESS LANE, WESTON, FL, 33335 |
| Name | Role | Address |
|---|---|---|
| DEVLETIAN MARIA T | Secretary | 2706 CYPRESS LANE, WESTON, FL, 33335 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-13 | 1504 SOUTH STREET, LEESBURG, FL 34748 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-13 | DEVLETIAN, DIRAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-13 | 2706 CYPRESS LANE, WESTON, FL 33335 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-13 | 1504 SOUTH STREET, LEESBURG, FL 34748 | No data |
| REINSTATEMENT | 2011-02-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-13 |
| ANNUAL REPORT | 2012-02-23 |
| REINSTATEMENT | 2011-02-25 |
| ANNUAL REPORT | 2009-04-08 |
| ANNUAL REPORT | 2008-02-08 |
| ANNUAL REPORT | 2007-05-02 |
| ANNUAL REPORT | 2006-04-14 |
| ANNUAL REPORT | 2005-04-21 |
| ANNUAL REPORT | 2004-04-21 |
| ANNUAL REPORT | 2003-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
