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PRIME HEALTH MEDICAL SUPPLIES INC.

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Company Details

Name: PRIME HEALTH MEDICAL SUPPLIES INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 13 Mar 2017 (8 years ago)
Entity Number: 5101310
ZIP code: 11373
County: Queens
Place of Formation: New York
Address: 89-16 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, United States, 11373

Contact Details

Phone +1 718-446-2300

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PRIME HEALTH MEDICAL SUPPLIES INC. DOS Process Agent 89-16 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY, United States, 11373

National Provider Identifier

NPI Number:
1902309644

Authorized Person:

Name:
ELLA ABUBAKAR
Role:
OPS MRG
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
7184462303

Licenses

Number Status Type Date End date
2058970-DCA Inactive Business 2017-10-03 2021-03-15

Filings

Filing Number Date Filed Type Effective Date
170313010468 2017-03-13 CERTIFICATE OF INCORPORATION 2017-03-13

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3113351 PL VIO INVOICED 2019-11-08 500 PL - Padlock Violation
3058286 LL VIO INVOICED 2019-07-05 500 LL - License Violation
3022428 LL VIO CREDITED 2019-04-25 250 LL - License Violation
3013293 RENEWAL INVOICED 2019-04-05 200 Dealer in Products for the Disabled License Renewal
2671900 LICENSE INVOICED 2017-10-02 150 Dealer in Products for the Disabled License Fee

Issued Charges

Date Outcome Charge Charge count Counts sellted Counts guilty Counts not guilty
2019-10-29 Pleaded LICENSE REQUIRED 1 1 No data No data
2019-04-15 Default Decision FAILED TO CONSPICUOUSLY POST COMBINED LICENSE / COMPLAINT SIGN 1 No data 1 No data

USAspending Awards / Financial Assistance

Date:
2020-07-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
70000.00
Total Face Value Of Loan:
70000.00
Date:
2020-07-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State