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Genesis Homecare Agency LLC

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Company Details

Name: Genesis Homecare Agency LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 Feb 2025 (6 months ago)
Business ID: 1477161
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Juanita Sims Agent 721 Issaquena st, Shaw, MS 38773

Manager

Name Role Address
LaTorria L Sims Manager 105 BRIDGE PARK DR, N/A, CANTON, MS 39046

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
LATORRIA SIMS
Ownership and Self-Certifications:
Black American, Other Minority Owned, Women-Owned Small Business, Woman Owned
User ID:
P3392307

Unique Entity ID

Unique Entity ID:
EASGB6RD4LJ6
CAGE Code:
11PL5
UEI Expiration Date:
2026-04-14

Business Information

Activation Date:
2025-04-17
Initial Registration Date:
2025-03-18

National Provider Identifier

NPI Number:
1023814373
Certification Date:
2025-06-26

Authorized Person:

Name:
LATORRIA SIMS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2025-02-19 Formation For Genesis Homecare Agency LLC

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Date of last update: 03 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website