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SHINING LEAF IPA, LLC

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Company Details

Name: SHINING LEAF IPA, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 May 2013 (12 years ago)
Entity Number: 4407572
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 2900 BRAG STREET, BROOKLYN, NY, United States, 11235

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2900 BRAG STREET, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1083023501

Authorized Person:

Name:
MS. JENI WALLACE
Role:
VICE PRESIDENT OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130523000389 2013-05-23 ARTICLES OF ORGANIZATION 2013-05-23

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State