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SOUTH SHORE HOME HEALTH SERVICE INC.

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Company Details

Name: SOUTH SHORE HOME HEALTH SERVICE INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 20 May 1986 (39 years ago)
Entity Number: 1084251
ZIP code: 12207
County: Suffolk
Place of Formation: New York
Principal Address: 2300 WARRENVILLE RD, Suite 100, DOWNERS GROVE, IL, United States, 60515
Address: 80 State Street, Albany, NY, United States, 12207

Contact Details

Phone +1 630-296-3400

Shares Details

Shares issued 400

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
jacqueline datkun Agent 1225 montauk hwy, OAKDALE, NY, 11769

Chief Executive Officer

Name Role Address
R. DIRK ALLISON Chief Executive Officer 6303 COWBOYS WAY, STE 600, FRISCO, TX, United States, 75034

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 State Street, Albany, NY, United States, 12207

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
D3P2KZK5KAE9
CAGE Code:
833C4
UEI Expiration Date:
2026-03-18

Business Information

Doing Business As:
ADDUS HOMECARE
Activation Date:
2025-03-20
Initial Registration Date:
2017-09-13

National Provider Identifier

NPI Number:
1821361429
Certification Date:
2025-04-30

Authorized Person:

Name:
DARBY ANDERSON
Role:
EVP CHIEF STRATEGY OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
6304872713
Fax:
6315677923

History

Start date End date Type Value
2024-05-01 2024-05-01 Address 6303 COWBOYS WAY, STE 600, FRISCO, TX, 75034, USA (Type of address: Chief Executive Officer)
2024-05-01 2024-09-25 Shares Share type: NO PAR VALUE, Number of shares: 400, Par value: 0
2024-05-01 2024-05-01 Address 6801 GAYLORD PKWY, STE 110, FRISCO, TX, 75034, USA (Type of address: Chief Executive Officer)
2023-09-25 2024-05-01 Shares Share type: NO PAR VALUE, Number of shares: 400, Par value: 0
2023-08-31 2023-09-25 Shares Share type: NO PAR VALUE, Number of shares: 400, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240501038387 2024-05-01 BIENNIAL STATEMENT 2024-05-01
220525001065 2022-05-25 BIENNIAL STATEMENT 2022-05-01
210805002719 2021-07-26 CERTIFICATE OF CHANGE BY ENTITY 2021-07-26
200501060475 2020-05-01 BIENNIAL STATEMENT 2020-05-01
180531006321 2018-05-31 BIENNIAL STATEMENT 2018-05-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State