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GREEN WELLNESS NP IN FAMILY HEALTH PLLC

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Company Details

Name: GREEN WELLNESS NP IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Feb 2023 (3 years ago)
Entity Number: 6728580
ZIP code: 12207
County: Erie
Place of Formation: New York
Address: 418 BROADWAY STE R, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 418 BROADWAY STE R, ALBANY, NY, United States, 12207

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
MAURICE MYERS
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3343404

Unique Entity ID

Unique Entity ID:
T9TCUDCEKJG1
CAGE Code:
0D3Q8
UEI Expiration Date:
2025-11-16

Business Information

Activation Date:
2024-11-19
Initial Registration Date:
2024-11-16

National Provider Identifier

NPI Number:
1023718533
Certification Date:
2024-10-28

Authorized Person:

Name:
JADE RICKIA GREEN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-02-10 2024-02-28 Address 418 BROADWAY STE R, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240228001018 2024-02-19 CERTIFICATE OF PUBLICATION 2024-02-19
230210000438 2023-02-09 ARTICLES OF ORGANIZATION 2023-02-09

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State