Search icon

LTC PROVIDER MANAGEMENT CORP.

Company claim

Is this your business?

Get access!

Company Details

Name: LTC PROVIDER MANAGEMENT CORP.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 11 Mar 2016 (9 years ago)
Entity Number: 4911257
ZIP code: 11050
County: Nassau
Place of Formation: New York
Address: 30 WOOD ROAD, PORT WASHINGTON, NY, United States, 11050

Contact Details

Phone +1 516-652-7647

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MYLES E. GOMBERT DOS Process Agent 30 WOOD ROAD, PORT WASHINGTON, NY, United States, 11050

National Provider Identifier

NPI Number:
1346694502

Authorized Person:

Name:
DR. MYLES EDWARD GOMBERT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
5169442385

Filings

Filing Number Date Filed Type Effective Date
160311000296 2016-03-11 CERTIFICATE OF INCORPORATION 2016-03-11

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 25 Mar 2025

Sources: New York Secretary of State