Search icon

Ideal Provider, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Ideal Provider, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 06 Apr 2007 (18 years ago)
Business ID: 910122
State of Incorporation: MISSISSIPPI

Member

Name Role Address
Thomas J Suszek Member 1217 Jackson AvePO Box 707, Oxford, MS 38655
Janet G Brower Member 1217 Jackson AvePO Box 707, Oxford, MS 38655
Ngozi Edmunds Member 5017 LECHATEAU COVE, MEMPHIS, TN 38125

National Provider Identifier

NPI Number:
1013141357

Authorized Person:

Name:
NGOZI EDMUNDS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
282E00000X - Long Term Care Hospital
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
Yes

Contacts:

Fax:
6623427089

Filings

Type Status Filed Date Description
Agent Resignation Filed 2016-05-17 Agent Resignation For Suszek, Thomas J
Dissolution Filed 2012-03-09 Dissolution
Annual Report LLC Filed 2011-03-10 Annual Report LLC
Formation Form Filed 2007-04-06 Formation

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website