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HUMANGOOD WASHINGTON

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Company Details

Legal Name: HUMANGOOD WASHINGTON
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 14th 1994
Expiration date: 30 Sep 2025
UBI Number: 601 572 527
Home State: CALIFORNIA
Principal Office Street Address: Google Maps Logo 1900 HUNTINGTON DR, DUARTE, CA, 91010-2694, UNITED STATES

Contact Details

E-Mail: STATREP@COGENCYGLOBAL.COM

Nature of Business

SENIOR HOUSING

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Registered Agent Information

Name Role
COGENCY GLOBAL INC. Registered Agent

Key Officers & Management

Name Role
Declan Brown Governing Person
BETHANY GHASSEMI Governing Person
ROBERT WILLIAMS Governing Person
RANDALL STAMPER Governing Person
JOHN COCHRANE Governing Person
ANDREW MCDONALD Governing Person
ALBERT KELLEY Governing Person
BRET TINKER Governing Person
DAVID DECKER Governing Person
DAVID DAHAN Governing Person

National Provider Identifier

NPI Number:
1891876306
Certification Date:
2025-06-02

Authorized Person:

Name:
GWEN ELLEN VANGELISTO
Role:
DIRECTOR OF ACCOUNTS RECEIVABLE
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
9495282434
Fax:
2068786404

Legal Entity Identifier

LEI Number:
549300LCWO52RD4R8818

Registration Details:

Initial Registration Date:
2013-04-10
Next Renewal Date:
2019-03-21
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

History

Type Old value New value Date of change
Name change AMERICAN BAPTIST HOMES OF WASHINGTON HUMANGOOD WASHINGTON 2018-02-23
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