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  5. PROVIDENCE REST

PROVIDENCE REST

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Company Details

Name: PROVIDENCE REST
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 09 Aug 1956 (69 years ago)
Entity Number: 106128
ZIP code: 10465
County: Bronx
Place of Formation: New York
Address: 3304 waterbury avenue, BRONX, NY, United States, 10465

Contact Details

Phone +1 718-931-3000

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 3304 waterbury avenue, BRONX, NY, United States, 10465

Unique Entity ID

Unique Entity ID:
XJ4EMH4EY695
UEI Expiration Date:
2026-06-23

Business Information

URL:
www.archcare.org/providence-rest/
Activation Date:
2025-06-25
Initial Registration Date:
2024-07-08

National Provider Identifier

NPI Number:
1063411262
Link:
View on NPI website

Authorized Person:

Name:
MS. SUSAN M STEINBERG
Role:
ADMINISTRATOR
Phone:
7189313000

Taxonomy:

Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 718-931-3000
Fax:
7185148447

Filings

Filing Number Date Filed Type Effective Date
230727001487 2023-07-26 CERTIFICATE OF AMENDMENT 2023-07-26
100129000315 2010-01-29 CERTIFICATE OF MERGER 2010-01-29
C185697-2 1992-02-21 ASSUMED NAME CORP INITIAL FILING 1992-02-21
28937 1956-08-09 CERTIFICATE OF INCORPORATION 1956-08-09

USAspending Awards / Financial Assistance

Date:
2020-04-28
Link:
View on USAspending
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:
2522100.00
Total Face Value Of Loan:
2522100.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2021-08-11
Type:
FollowUp
Address:
3304 WATERBURY AVENUE, BRONX, NY, 10465
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-08-18
Type:
Fat/Cat
Address:
3304 WATERBURY AVENUE, BRONX, NY, 10465
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-06-03
Type:
Unprog Rel
Address:
3304 WATERBURY AVENUE, BRONX, NY, 10465
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
13-1740301
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
1946-03

Paycheck Protection Program

Jobs Reported:
295
Initial Approval Amount:
$2,522,100
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,522,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,552,365.2
Servicing Lender:
Webster Bank National Association
Use of Proceeds:
Payroll: $2,522,100

Court Cases

Court Case Summary

Filing Date:
2023-02-15
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Medical Malpractice

Parties

Party Name:
THE ESTATE OF ADAMINA NEGRON
Party Role:
Plaintiff
Party Name:
PROVIDENCE REST
Party Role:
Defendant

Court Case Summary

Filing Date:
2022-11-22
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Defendant demands jury
Nature Of Suit:
Medical Malpractice

Parties

Party Name:
PROVIDENCE REST
Party Role:
Defendant
Party Name:
THE ESTATE OF GENEROSO PAOLELL
Party Role:
Plaintiff

Court Case Summary

Filing Date:
2022-02-04
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Medical Malpractice

Parties

Party Name:
RANIERI & CO., INC.
Party Role:
Plaintiff
Party Name:
PROVIDENCE REST
Party Role:
Defendant

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Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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