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LIVING WELL AT HOME LLC

Company Details

Name: LIVING WELL AT HOME LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jun 2022 (3 years ago)
Entity Number: 6516640
ZIP code: 11950
County: Suffolk
Place of Formation: New York
Address: p o box 543, Mastic, NY, United States, 11950

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Agent 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228

DOS Process Agent

Name Role Address
THE LIMITED LIABILITY COMPANY DOS Process Agent p o box 543, Mastic, NY, United States, 11950

National Provider Identifier

NPI Number:
1144734252

Authorized Person:

Name:
SHANELL LOVETTE WOODLEY
Role:
RN CLINICAL COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
Yes

Contacts:

Fax:
6317409233

Filings

Filing Number Date Filed Type Effective Date
220621000463 2022-06-21 ARTICLES OF ORGANIZATION 2022-06-21

Date of last update: 21 Mar 2025

Sources: New York Secretary of State