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Healthy Living Family Medical Center LLC

Company Details

Name: Healthy Living Family Medical Center LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Sep 2016 (9 years ago)
Business ID: 1100613
ZIP code: 38746
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 420 ASHLAND AVENUEGUNNISON, MS 38746

Agent

Name Role Address
Wycondaroga E Thomas Agent 420 Ashland Avenue, Gunnison, MS 38746

Organizer

Name Role Address
Wycondaroga E Thomas Organizer 420 Ashland Avenue, Gunnison, MS 38746

Manager

Name Role Address
WYCONDAROGA E THOMAS Manager P O BOX 49, ROSEDALE, MS 38769

Member

Name Role Address
WYCONDAROGA E THOMAS Member P O BOX 49, ROSEDALE, MS 38769

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
WYCONDA THOMAS
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Woman Owned
User ID:
P2971718

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FJYGGZSQ9M25
CAGE Code:
9HWU4
UEI Expiration Date:
2026-01-27

Business Information

Activation Date:
2025-01-28
Initial Registration Date:
2023-01-19

National Provider Identifier

NPI Number:
1154845840
Certification Date:
2023-02-03

Authorized Person:

Name:
WYCONDAROGA E THOMAS
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6629875025

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-21 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2024-03-14 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2023-05-22 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2022-04-15 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2021-05-18 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2020-09-14 Annual Report For Healthy Living Family Medical Center LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-03-14 Annual Report For Healthy Living Family Medical Center LLC
Annual Report LLC Filed 2018-03-08 Annual Report For Healthy Living Family Medical Center LLC
Correction Amendment Form Filed 2017-07-14 Correction For Healthy Living Family Medical Center LLC

USAspending Awards / Financial Assistance

Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website