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BETHANY RETIREMENT HOME, INC.

Company Details

Name: BETHANY RETIREMENT HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 02 Jul 1969 (56 years ago)
Entity Number: 279083
ZIP code: 14845
County: Chemung
Place of Formation: New York
Address: 3005 WATKINS ROAD, HORSEHEADS, NY, United States, 14845

Contact Details

Phone +1 607-378-6531

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3005 WATKINS ROAD, HORSEHEADS, NY, United States, 14845

Agent

Name Role Address
RETIREMENT HOME OF CENTRAL NEW YORK CONFERENCE OF THE UNITED Agent 751 WATKINS RD., HORSEHEADS, NY, 14845

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:
XEUPHDMC7677
CAGE Code:
3XAV3
UEI Expiration Date:
2024-08-15

Business Information

Doing Business As:
BETHANY VILLAGE
Activation Date:
2023-08-18
Initial Registration Date:
2004-06-23

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3XAV3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-06-18
SAM Expiration:
2025-06-17

Contact Information

POC:
MICHAEL KISER
Phone:
+1 607-378-6574

National Provider Identifier

NPI Number:
1578699500

Authorized Person:

Name:
MR. MICHAEL S. KISER
Role:
DIRECTOR OF FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
6077962566

Form 5500 Series

Employer Identification Number (EIN):
160988865
Plan Year:
2015
Number Of Participants:
344
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
381
Sponsors Telephone Number:

Licenses

Number Type Date End date Address
21BE1253713 Appearance Enhancement Business License 2006-07-25 2024-11-18 3005 WATKINS RD, HORSEHEADS, NY, 14845

History

Start date End date Type Value
1984-04-20 1994-11-17 Address 751 WATKINS RD., HORSEHEADS, NY, 14845, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
C288536-2 2000-05-12 ASSUMED NAME LLC INITIAL FILING 2000-05-12
941117000296 1994-11-17 CERTIFICATE OF AMENDMENT 1994-11-17
B306535-7 1986-01-03 CERTIFICATE OF AMENDMENT 1986-01-03
B093068-8 1984-04-20 CERTIFICATE OF AMENDMENT 1984-04-20
A95701-3 1973-08-28 CERTIFICATE OF AMENDMENT 1973-08-28

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24220K0331
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-04-01
Total Dollars Obligated:
735.76
Current Total Value Of Award:
735.76
Potential Total Value Of Award:
735.76
Description:
EXPRESS REPORT: FY20 QTR 3 EXPENDITURES FOR BATH ADULT DAY HEALTH CARE
Naics Code:
624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product Or Service Code:
Q506: MEDICAL- GERIATRIC
Procurement Instrument Identifier:
36C24220K0165
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Total Dollars Obligated:
6395.94
Current Total Value Of Award:
6395.94
Potential Total Value Of Award:
6395.94
Description:
EXPRESS REPORT: FY20 QTR 1 EXPENDITURES FOR BATH ADULT DAY HEALTH CARE
Naics Code:
624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product Or Service Code:
Q506: MEDICAL- GERIATRIC
Procurement Instrument Identifier:
36C24219K0420
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-07-01
Total Dollars Obligated:
19002.43
Current Total Value Of Award:
19002.43
Potential Total Value Of Award:
19002.43
Description:
EXPRESS REPORT:FY19 QTR 4 EXPENDITURES FOR BATH ADULT DAY HEALTH CARE
Naics Code:
624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product Or Service Code:
Q506: MEDICAL- GERIATRIC

USAspending Awards / Financial Assistance

Date:
2020-06-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
835300.00
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
604500.00
Total Face Value Of Loan:
604500.00

OSHA's Inspections within Industry

Inspection Summary

Date:
1998-06-18
Type:
Planned
Address:
3005 WATKINS ROAD, HORSEHEADS, NY, 14845
Safety Health:
Safety
Scope:
Complete

Inspection Summary

Date:
1998-06-18
Type:
Planned
Address:
3005 WATKINS ROAD, HORSEHEADS, NY, 14845
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
16-0988865
In Care Of Name:
% MICHAEL KISER CPA
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1971-01
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
604500
Current Approval Amount:
604500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
607970.07

Date of last update: 18 Mar 2025

Sources: New York Secretary of State