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COMMUNITY INTERVENTION SERVICES LLC

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Company Details

Name: COMMUNITY INTERVENTION SERVICES LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Jan 2015 (10 years ago)
Entity Number: 4698341
ZIP code: 10467
County: Bronx
Place of Formation: New York
Address: 2751 BARKER AVE., SUITE Y51, BRONX, NY, United States, 10467

Agent

Name Role Address
ETHEL MORAN Agent 2751 BARKER AVE., SUITE Y51, BRONX, NY, 10467

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2751 BARKER AVE., SUITE Y51, BRONX, NY, United States, 10467

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
84Q68
UEI Expiration Date:
2019-07-16

Business Information

Division Name:
COMMUNITY INTERVENTION SERVICES LLC
Division Number:
COMMUNITY
Activation Date:
2018-07-18
Initial Registration Date:
2018-07-16

National Provider Identifier

NPI Number:
1073015392
Certification Date:
2021-08-03

Authorized Person:

Name:
MS. CATINA BURKETT
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210112060052 2021-01-12 BIENNIAL STATEMENT 2021-01-01
190118060211 2019-01-18 BIENNIAL STATEMENT 2019-01-01
170117006061 2017-01-17 BIENNIAL STATEMENT 2017-01-01
150122000477 2015-01-22 ARTICLES OF ORGANIZATION 2015-01-22

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State