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MEDI-LIFT OF MS LLC

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Company Details

Name: MEDI-LIFT OF MS LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 16 Feb 2022 (3 years ago)
Business ID: 1324951
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 18243 Tulip CoveGulfport, MS 39503

Agent

Name Role Address
VINCENT V WILLIAMS Agent 1924 30TH AVE., GULFPORT, MS 39501

Manager

Name Role Address
ANDRE S FAUCHA Manager 18243 TULIP COVE, GULFPORT, MS 39503
Julie Faucha Manager 18243 Tulip Cove, Gulfport, MS 39503

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
ANDRE FAUCHA
Ownership and Self-Certifications:
Black American, Other Minority Owned
User ID:
P3253196

Unique Entity ID

Unique Entity ID:
U1V4YU87TFN5
CAGE Code:
9Z8B1
UEI Expiration Date:
2025-11-29

Business Information

Division Name:
MEDI-LIFT OF MS, LLC
Activation Date:
2024-12-02
Initial Registration Date:
2024-11-08

National Provider Identifier

NPI Number:
1568254191
Certification Date:
2025-05-09

Authorized Person:

Name:
MR. ANDRE FAUCHA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-17 Annual Report For MEDI-LIFT OF MS LLC
Annual Report LLC Filed 2024-11-12 Annual Report For MEDI-LIFT OF MS LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: MEDI-LIFT OF MS LLC
Annual Report LLC Filed 2023-02-02 Annual Report For MEDI-LIFT OF MS LLC
Amendment Form Filed 2022-03-09 Amendment For MEDI-LIFT OF MS LLC
Formation Form Filed 2022-02-16 Formation For MEDI-LIFT OF MS LLC

USAspending Awards / Contracts

Procurement Instrument Identifier:
20342324C00010
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
20800.00
Base And Exercised Options Value:
20800.00
Base And All Options Value:
109200.00
Awarding Agency Name:
Department of the Treasury
Performance Start Date:
2024-09-18
Description:
NON-EMERGENCY TRANSPORTATION SERVICES
Naics Code:
485999: ALL OTHER TRANSIT AND GROUND PASSENGER TRANSPORTATION
Product Or Service Code:
V002: TRANSPORTATION/TRAVEL/RELOCATION- MOTOR POOL AND PACKING/CRATING: MOTOR POOL OPERATIONS

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Date of last update: 16 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website