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MEDICZEN HOME CARE OF WASHINGTON, LLC

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Company Details

Legal Name: MEDICZEN HOME CARE OF WASHINGTON, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 7th 2022
Expiration date: 28 Feb 2026
UBI Number: 604 870 148
ZIP code: 98030
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 26327 116TH AVE SE APT E104, KENT, WA, 98030-8452, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 7207 W ALTA VISTA RD, LAVEEN, AZ, 85339-2669, UNITED STATES

Contact Details

E-Mail: MATT.NORTON@MEDICZENHOMECARE.COM
Phone Number: +1 602-826-6536

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VITALY GRECK Registered Agent 26327 116TH AVE SE APT E104, KENT, WA, 98030-8452, UNITED STATES

Key Officers & Management

Name Role Address
ANDREW VILLAPUDUA Executor 5833 115TH PL NE UNIT B, KIRKLAND, WA, 98033-8708, UNITED STATES
MATTHEW NORTON Governing Person -

National Provider Identifier

NPI Number:
1740935360
Certification Date:
2024-06-12

Authorized Person:

Name:
MATTHEW NORTON
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change MEDICZEN HOME CARE SOLUTIONS, LLC MEDICZEN HOME CARE OF WASHINGTON, LLC 2023-05-04
Name change PRESTIGE HOME CARE SOLUTIONS, LLC MEDICZEN HOME CARE SOLUTIONS, LLC 2022-03-31
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