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GOOD SHEPHERD VILLAGE AT ENDWELL, INC.

Company Details

Name: GOOD SHEPHERD VILLAGE AT ENDWELL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 18 Sep 2006 (19 years ago)
Entity Number: 3413488
ZIP code: 13904
County: Broome
Place of Formation: New York
Address: CHIEF EXECUTIVE OFFICER, 80 FAIRVIEW AVE., BINGHAMTON, NY, United States, 13904

Contact Details

Fax +1 607-757-3102

Phone +1 607-757-3102

Phone +1 607-757-3100

Fax +1 607-757-3100

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent CHIEF EXECUTIVE OFFICER, 80 FAIRVIEW AVE., BINGHAMTON, NY, United States, 13904

National Provider Identifier

NPI Number:
1942532114
Certification Date:
2023-09-14

Authorized Person:

Name:
ULYSSES SAM ARNOLD
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6077240957
Fax:
6077573101

Licenses

Number Type Date Last renew date End date Address Description
0349-22-217092 Alcohol sale 2023-12-16 2023-12-16 2024-08-31 32 VILLAGE DR, ENDWELL, New York, 13760 Club

History

Start date End date Type Value
2006-09-18 2008-07-23 Address 700 SECURITY MUTUAL BLDG., 80 EXCHANGE STREET PO BOX 5250, BINGHAMTON, NY, 13902, 5250, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
080723000663 2008-07-23 CERTIFICATE OF AMENDMENT 2008-07-23
060918000255 2006-09-18 CERTIFICATE OF INCORPORATION 2006-09-18

Date of last update: 28 Mar 2025

Sources: New York Secretary of State