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121 CARE, LLC

Company Details

Name: 121 CARE, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 May 2018 (7 years ago)
Entity Number: 5350248
ZIP code: 10021
County: New York
Place of Formation: California
Address: 215 EAST 73RD STREET, UNIT 1B, NEW YORK, NY, United States, 10021

Contact Details

Phone +1 855-572-0400

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 215 EAST 73RD STREET, UNIT 1B, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1164930665

Authorized Person:

Name:
ANDREW CANTWELL PEDTKE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Licenses

Number Status Type Date End date
2073182-DCA Inactive Business 2018-06-12 2019-03-15

Filings

Filing Number Date Filed Type Effective Date
180530000646 2018-05-30 APPLICATION OF AUTHORITY 2018-05-30

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
2796991 LICENSE INVOICED 2018-06-06 100 Dealer in Products for the Disabled License Fee
2771133 PROCESSING INVOICED 2018-04-04 50 License Processing Fee
2771134 DCA-SUS CREDITED 2018-04-04 100 Suspense Account
2750012 LICENSE CREDITED 2018-02-26 150 Dealer in Products for the Disabled License Fee

Date of last update: 23 Mar 2025

Sources: New York Secretary of State