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MADELINE ROSE MASTECTOMY BOUTIQUE, LLC

Company Details

Name: MADELINE ROSE MASTECTOMY BOUTIQUE, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2021 (4 years ago)
Entity Number: 6289977
ZIP code: 13760
County: Broome
Place of Formation: New York
Address: 303 Hillside Terrace, Endwell, NY, United States, 13760

Agent

Name Role Address
Jamie Leigh Walck Agent 303 Hillside Terrace, Endwell, NY, 13760

DOS Process Agent

Name Role Address
JAMIE LEIGH WALCK DOS Process Agent 303 Hillside Terrace, Endwell, NY, United States, 13760

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Fax Number:
607-296-2023
Contact Person:
JAMIE WALCK
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P2970374

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
UX65C8MUBX96
CAGE Code:
9HRF8
UEI Expiration Date:
2026-01-28

Business Information

Activation Date:
2025-01-30
Initial Registration Date:
2023-03-13

National Provider Identifier

NPI Number:
1316693765
Certification Date:
2022-05-31

Authorized Person:

Name:
MS. JAMIE LEIGH WALCK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
224900000X - Mastectomy Fitter
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6072962023

History

Start date End date Type Value
2022-10-19 2023-11-14 Address 303 Hillside Terrace, Endwell, NY, 13760, 1025, USA (Type of address: Registered Agent)
2022-10-19 2023-11-14 Address 303 Hillside Terrace, Endwell, NY, 13760, 1025, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231114004064 2023-11-14 BIENNIAL STATEMENT 2023-09-01
221019002687 2022-01-18 CERTIFICATE OF PUBLICATION 2022-01-18
210927002691 2021-09-27 ARTICLES OF ORGANIZATION 2021-09-27

Date of last update: 21 Mar 2025

Sources: New York Secretary of State