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OMNI HEALTH, SHATIKA JAMES, DNP, NP IN FAMILY HEALTH PLLC

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Company Details

Name: OMNI HEALTH, SHATIKA JAMES, DNP, NP IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Dec 2023 (2 years ago)
Entity Number: 7197404
ZIP code: 10603
County: Westchester
Place of Formation: New York
Address: 355 OLD TARRYTOWN RD., APT. 608, WHITE PLAINS, NY, United States, 10603

Agent

Name Role Address
SHATIKA JAMES Agent 355 OLD TARRYTOWN RD., APT. 608, WHITE PLAINS, NY, 10603

DOS Process Agent

Name Role Address
the llc DOS Process Agent 355 OLD TARRYTOWN RD., APT. 608, WHITE PLAINS, NY, United States, 10603

National Provider Identifier

NPI Number:
1497555783
Certification Date:
2025-03-29

Authorized Person:

Name:
SHATIKA JAMES
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QC1800X - Corporate Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8017970216

History

Start date End date Type Value
2024-07-15 2025-02-04 Address 100 fisher ave. #237, WHITE PLAINS, NY, 10606, USA (Type of address: Service of Process)
2023-12-05 2024-07-15 Address 100 fisher ave. #237, WHITE PLAINS, NY, 10606, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250204004502 2025-01-23 CERTIFICATE OF CHANGE BY ENTITY 2025-01-23
240715002019 2024-07-01 CERTIFICATE OF PUBLICATION 2024-07-01
231205001717 2023-12-04 ARTICLES OF ORGANIZATION 2023-12-04

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State