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Glendale Healthcare LLC

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Company Details

Name: Glendale Healthcare LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Jun 2021 (4 years ago)
Business ID: 1286298
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 2503 Glendale AveHattiesburg, MS 39401

Organizer

Name Role Address
Legalzoom.com, Inc. Organizer 101 N. Brand Blvd., 10th Floor, Glendale, CA 91203

Manager

Name Role Address
Akwasi W. Amponsah Manager 2503 Glendale Ave., Hattiesburg, MS 39401

Agent

Name Role Address
Akwasi W. Amponsah Agent 84 Greenleaf Dr., Hattiesburg, MS 39402

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
AKWASI AMPONSAH
Ownership and Self-Certifications:
Black American, Other Minority Owned
User ID:
P3140062

Unique Entity ID

Unique Entity ID:
LAAWVCWEYDE8
CAGE Code:
9B1X0
UEI Expiration Date:
2026-02-24

Business Information

Activation Date:
2025-02-26
Initial Registration Date:
2022-06-02

National Provider Identifier

NPI Number:
1063188167
Certification Date:
2021-08-18

Authorized Person:

Name:
AKWASI WAYNE AMPONSAH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-14 Annual Report For Glendale Healthcare LLC
Annual Report LLC Filed 2024-01-23 Annual Report For Glendale Healthcare LLC
Annual Report LLC Filed 2023-03-01 Annual Report For Glendale Healthcare LLC
Annual Report LLC Filed 2022-02-14 Annual Report For Glendale Healthcare LLC
Formation Form Filed 2021-06-02 Formation For Glendale Healthcare LLC

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Date of last update: 11 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website