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DiVine Home Care Changes, LLC

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Company Details

Name: DiVine Home Care Changes, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 09 Jul 2020 (5 years ago)
Business ID: 1222064
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 106 Ethel Dr. Vicksburg, MS 39180

Agent

Name Role Address
Chasity Davis Agent 106 Ethel Dr, Vicksburg, MS 39180

Organizer

Name Role Address
Chasity Davis Organizer 106 Ethel Dr., Vicksburg, MS 39180

Manager

Name Role Address
Chasity Davis Manager 106 Ethel Dr., Vicksburg, MS 39180

President

Name Role Address
Chasity Davis President 106 Ethel Dr., Vicksburg, MS 39180

National Provider Identifier

NPI Number:
1174132476
Certification Date:
2022-10-07

Authorized Person:

Name:
CHASITY DAVIS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Dissolution Filed 2022-08-02 Dissolution For DiVine Home Care Changes, LLC
Annual Report LLC Filed 2022-08-02 Annual Report For DiVine Home Care Changes, LLC
Annual Report LLC Filed 2021-06-10 Annual Report For DiVine Home Care Changes, LLC
Formation Form Filed 2020-07-09 Formation For DiVine Home Care Changes, LLC

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Date of last update: 23 May 2025

Sources: Company Profile on Mississippi Secretary of State Website