| Entity Name: | CLERSAINT HOME CARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 May 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P05000078374 |
| FEI/EIN Number | 743145567 |
| Address: | 422 S Central Ave., Apopka, FL, 32703, US |
| Mail Address: | P.O.BOX 960, OCOEE, FL, 34761 |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407107014 | 2012-09-21 | 2012-09-21 | 432 SAND AVE, APOPKA, FL, 327035537, US | 432 SAND AVE, APOPKA, FL, 327035537, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 407-814-4664 |
| Fax | 4078144663 |
Authorized person
| Name | MISS JEANNETE LUCIE CLERSAINT |
| Role | OWNER |
| Phone | 4078441419 |
Taxonomy
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | 693271198 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693271198 |
| State | FL |
| Issuer | MEDICAID |
| Number | 693271196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLERSAINT JEANNETTE | Agent | 434 Los Altos Way, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| Clersaint Jeannette | President | 434 Los Altos Way, Altamonte Springs, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-24 | 434 Los Altos Way, 101, Altamonte Springs, FL 32714 | No data |
| AMENDMENT | 2015-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-12 | 422 S Central Ave., Apopka, FL 32703 | No data |
| CANCEL ADM DISS/REV | 2010-04-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-14 | 422 S Central Ave., Apopka, FL 32703 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000222749 | ACTIVE | 2017-CC-013529-O | ORANGE COUNTY COURT CLERK | 2021-03-30 | 2026-05-10 | $11,967.15 | MERCHANT CAPITAL GROUP LLC DBA GREENBOX CAPITAL, 111 MIAMI GARDENS DRIVE, SUITE 408, MIAMI FL, 33169 |
| J19000124444 | ACTIVE | 1000000812994 | ORANGE | 2019-02-04 | 2029-02-20 | $ 318.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-03-30 |
| Amendment | 2015-09-14 |
| AMENDED ANNUAL REPORT | 2015-02-11 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-01-24 |
| ANNUAL REPORT | 2011-04-24 |
| CORAPREIWP | 2010-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
