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EXCEPTIONAL DELIVERANCE HOMECARE LLC

Company Details

Name: EXCEPTIONAL DELIVERANCE HOMECARE LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Apr 2024 (a year ago)
Entity Number: 7299414
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 484 Fruitwood Terr, Williamsville, NY, United States, 14221

DOS Process Agent

Name Role Address
Shanika Jackson DOS Process Agent 484 Fruitwood Terr, Williamsville, NY, United States, 14221

National Provider Identifier

NPI Number:
1093568206
Certification Date:
2024-04-08

Authorized Person:

Name:
MRS. SHANIKA JACKSON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240408001545 2024-04-08 ARTICLES OF ORGANIZATION 2024-04-08

Date of last update: 19 Mar 2025

Sources: New York Secretary of State