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INNOVATIVE SERVICE, LLC

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Company Details

Name: INNOVATIVE SERVICE, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 May 2004 (21 years ago)
Entity Number: 3051389
ZIP code: 12566
County: Orange
Place of Formation: New York
Address: 5398 SEARSVILLE ROAD, PINE BUSH, NY, United States, 12566

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5398 SEARSVILLE ROAD, PINE BUSH, NY, United States, 12566

National Provider Identifier

NPI Number:
1528013190

Authorized Person:

Name:
MS. ALYCE M CROSSMAN
Role:
VP, CIO
Phone:

Taxonomy:

Selected Taxonomy:
251F00000X - Home Infusion Agency
Is Primary:
No
Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No

Contacts:

Fax:
5853941485

Filings

Filing Number Date Filed Type Effective Date
040831000009 2004-08-31 AFFIDAVIT OF PUBLICATION 2004-08-31
040831000011 2004-08-31 AFFIDAVIT OF PUBLICATION 2004-08-31
040510000868 2004-05-10 ARTICLES OF ORGANIZATION 2004-05-10

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State