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CHARLIES ANGELS HEALTHCARE LLC

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Company Details

Name: CHARLIES ANGELS HEALTHCARE LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Sep 2021 (4 years ago)
Entity Number: 6276357
ZIP code: 11691
County: Queens
Place of Formation: New York
Address: 412 Beach 38th St, Far Rockaway, NY, United States, 11691

DOS Process Agent

Name Role Address
EBONY BUSSEY DOS Process Agent 412 Beach 38th St, Far Rockaway, NY, United States, 11691

Unique Entity ID

Unique Entity ID:
DMQ5G7ADF5G7
CAGE Code:
998V3
UEI Expiration Date:
2023-04-08

Business Information

Activation Date:
2022-03-11
Initial Registration Date:
2022-02-01

National Provider Identifier

NPI Number:
1598435695
Certification Date:
2021-09-20

Authorized Person:

Name:
EBONY BUSSEY
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
872710931
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
231030015965 2023-10-30 BIENNIAL STATEMENT 2023-09-01
210908002628 2021-09-08 ARTICLES OF ORGANIZATION 2021-09-08

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State