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Cheyenne Total Care LLC

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Company Details

Name: Cheyenne Total Care LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Feb 2018 (7 years ago)
Business ID: 1138516
ZIP code: 38804
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 104 West Franklin Street Suite ETupelo , MS 38804

Agent

Name Role Address
Patricia Clay Agent 104 West Franklin Street, Suite E, Tupelo, MS 38804

Manager

Name Role Address
Patricia Clay Manager 10742 Hwy 45 Alt, Prairie, MS 39756

National Provider Identifier

NPI Number:
1114240132
Certification Date:
2023-05-24

Authorized Person:

Name:
MS. PATRICIA ANN CLAY
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
No
Selected Taxonomy:
251X00000X - Supports Brokerage Agency
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No

Contacts:

Fax:
6627968860

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-01 Annual Report For Cheyenne Total Care LLC
Annual Report LLC Filed 2023-02-20 Annual Report For Cheyenne Total Care LLC
Reinstatement Filed 2022-05-12 Reinstatement For Cheyenne Total Care LLC
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Formation Form Filed 2018-02-07 Formation For Cheyenne Total Care LLC

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Date of last update: 19 May 2025

Sources: Company Profile on Mississippi Secretary of State Website