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Millennial Healthcare, LLC

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Company Details

Name: Millennial Healthcare, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 May 2022 (3 years ago)
Business ID: 1341250
ZIP code: 39206
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5290 Galaxie Drive, Suite 105Jackson, MS 39206

Agent

Name Role Address
Dominique Buckner Agent 655 Meadowbrook Rd, Jackson, MS 39206

Organizer

Name Role Address
Dominique JaQuetta Nicole Buckner Organizer 655 Meadowbrook Road, Jackson, MS 39206

Manager

Name Role Address
Dominique Buckner Manager 655 Meadowbrook Road, Jackson, MS 39206

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
DOMINIQUE BUCKNER
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Economically Disadvantaged Women-Owned Small Business, Women-Owned Small Business, Woman Owned
User ID:
P2903717

Unique Entity ID

Unique Entity ID:
NUQJXQPGQ1W8
CAGE Code:
9D4Q9
UEI Expiration Date:
2025-07-30

Business Information

Division Name:
MILLENNIAL HEALTHCARE, LLC
Activation Date:
2024-08-01
Initial Registration Date:
2022-09-14

National Provider Identifier

NPI Number:
1437852266
Certification Date:
2023-10-20

Authorized Person:

Name:
DOMINIQUE JAQUETTA NICOLE BUCKNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No
Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-28 Annual Report For Millennial Healthcare, LLC
Annual Report LLC Filed 2023-03-08 Annual Report For Millennial Healthcare, LLC
Formation Form Filed 2022-05-20 Formation For Millennial Healthcare, LLC

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Date of last update: 17 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website