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LIFELINE INFUSION SERVICES, INC.

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Company Details

Name: LIFELINE INFUSION SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 13 Oct 1992 (33 years ago)
Entity Number: 1672376
ZIP code: 11705
County: Suffolk
Place of Formation: New York
Address: 559 MIDDLE ROAD, BAYPORT, NY, United States, 11705

Contact Details

Phone +1 631-472-2929

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ANITA MARTIN Chief Executive Officer 559 MIDDLE ROAD, BAYPORT, NY, United States, 11705

DOS Process Agent

Name Role Address
LIFELINE INFUSION SERVICES, INC. DOS Process Agent 559 MIDDLE ROAD, BAYPORT, NY, United States, 11705

National Provider Identifier

NPI Number:
1982639530

Authorized Person:

Name:
RUSSELL MARTIN
Role:
SECRETARY/TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336H0001X - Home Infusion Therapy Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6314726882

History

Start date End date Type Value
1993-10-06 2020-10-05 Address 559 MIDDLE ROAD, BAYPORT, NY, 11705, USA (Type of address: Service of Process)
1992-10-13 1993-10-06 Address 559 MIDDLE ROAD, BAYPORT, NY, 11705, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201005062409 2020-10-05 BIENNIAL STATEMENT 2020-10-01
181002006640 2018-10-02 BIENNIAL STATEMENT 2018-10-01
141010006492 2014-10-10 BIENNIAL STATEMENT 2014-10-01
121024002192 2012-10-24 BIENNIAL STATEMENT 2012-10-01
101008002818 2010-10-08 BIENNIAL STATEMENT 2010-10-01

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
24700.00
Total Face Value Of Loan:
24700.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
24700
Current Approval Amount:
24700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
24665.46

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State