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INDEPENDENCE AT HOME-PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.

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Company Details

Name: INDEPENDENCE AT HOME-PHYSICIAN HOUSE CALLS FOR THE HOMEBOUND, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Oct 2011 (14 years ago)
Entity Number: 4152171
ZIP code: 10044
County: New York
Place of Formation: New York
Address: 501 MAIN STREET, ROOSEVELT ISLAND, NY, United States, 10044
Principal Address: 501 MAIN ST, SUITE C, NEW YORK, NY, United States, 10044

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

Chief Executive Officer

Name Role Address
JACKRESNICK Chief Executive Officer 501 MAIN ST, NEW YORK, NY, United States, 10044

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 501 MAIN STREET, ROOSEVELT ISLAND, NY, United States, 10044

Unique Entity ID

CAGE Code:
6XCW6
UEI Expiration Date:
2015-04-26

Business Information

Activation Date:
2014-04-26
Initial Registration Date:
2013-06-24

Commercial and government entity program

CAGE number:
6XCW6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-02

Contact Information

POC:
JACK RESNICK

National Provider Identifier

NPI Number:
1851724363

Authorized Person:

Name:
DR. JACK A RESNICK
Role:
INCORPORATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2127535507

Filings

Filing Number Date Filed Type Effective Date
131010006649 2013-10-10 BIENNIAL STATEMENT 2013-10-01
111012000062 2011-10-12 CERTIFICATE OF INCORPORATION 2011-10-12

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State