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PEDIATRIC HOME NURSING SERVICES, INC.

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Company Details

Name: PEDIATRIC HOME NURSING SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 23 Jan 1996 (29 years ago)
Entity Number: 1992569
ZIP code: 12207
County: Westchester
Place of Formation: New York
Principal Address: 400 INTERSTATE NORTH PKWY SE, STE. 1600, ATLANTA, GA, United States, 30339
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Email ETHAN.ACEY@AVEANNA.COM

Phone +1 716-276-2123

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
JEFFREY SHANER Chief Executive Officer 400 INTERSTATE NORTH PKWY SE, STE. 1600, ATLANTA, GA, United States, 30339

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

National Provider Identifier

NPI Number:
1881622199
Certification Date:
2025-01-27

Authorized Person:

Name:
MATTHEW BUCKHALTER
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
7702488192
Fax:
7162762129

History

Start date End date Type Value
2024-01-15 2024-01-15 Address 400 INTERSTATE NORTH PKWY SE, STE. 1600, ATLANTA, GA, 30339, USA (Type of address: Chief Executive Officer)
2024-01-15 2024-01-15 Address 400 INTERSTATE NORTH PKWY SE, 1600, ATLANTA, GA, 30339, USA (Type of address: Chief Executive Officer)
2021-10-29 2024-01-15 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 0.01
2021-06-24 2021-10-29 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 0.01
2021-06-23 2021-06-24 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 0.01

Filings

Filing Number Date Filed Type Effective Date
240115000488 2024-01-15 BIENNIAL STATEMENT 2024-01-15
220103002786 2022-01-03 BIENNIAL STATEMENT 2022-01-03
200102060123 2020-01-02 BIENNIAL STATEMENT 2020-01-01
180802002031 2018-08-02 AMENDMENT TO BIENNIAL STATEMENT 2018-01-01
180627002032 2018-06-27 AMENDMENT TO BIENNIAL STATEMENT 2018-01-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State