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ACTIVE LIFE HEALTH OF GARDEN CITY MEDICAL, PLLC

Company Details

Name: ACTIVE LIFE HEALTH OF GARDEN CITY MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Jul 2019 (6 years ago)
Entity Number: 5592542
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 623 STEWART AVE., GARDEN CITY, NY, United States, 11530

DOS Process Agent

Name Role Address
KRISTEN PALLADINO DOS Process Agent 623 STEWART AVE., GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1477175545
Certification Date:
2020-05-12

Authorized Person:

Name:
JOHN J RUSH
Role:
CHAIRMAN & CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5167845232
Fax:
9143630966

History

Start date End date Type Value
2019-07-24 2023-07-09 Address 623 STEWART AVE., GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230709000269 2023-07-09 BIENNIAL STATEMENT 2023-07-01
220413002301 2022-04-13 BIENNIAL STATEMENT 2021-07-01
191104000227 2019-11-04 CERTIFICATE OF PUBLICATION 2019-11-04
190724000531 2019-07-24 ARTICLES OF ORGANIZATION 2019-07-24

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
76112.00
Total Face Value Of Loan:
76112.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
76112
Current Approval Amount:
76112
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
76658.99

Date of last update: 23 Mar 2025

Sources: New York Secretary of State