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DAVENPORT FAMILY SERVICES INC.

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Company Details

Name: DAVENPORT FAMILY SERVICES INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 09 Sep 2021 (4 years ago)
Entity Number: 6327066
ZIP code: 11550
County: Nassau
Place of Formation: New York
Address: 11 madison ave, HEMPSTEAD, NY, United States, 11550

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 11 madison ave, HEMPSTEAD, NY, United States, 11550

National Provider Identifier

NPI Number:
1639836372
Certification Date:
2021-11-20

Authorized Person:

Name:
JERMAINE DAVENPORT
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
310500000X - Mental Illness Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
Yes

Contacts:

Fax:
8283575254

Filings

Filing Number Date Filed Type Effective Date
211113000885 2021-09-09 CERTIFICATE OF INCORPORATION 2021-09-09

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State