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  5. HOME HEALTH PAVILION, INC.

HOME HEALTH PAVILION, INC.

Company Details

Name: HOME HEALTH PAVILION, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 03 Jul 1991 (34 years ago)
Entity Number: 1559426
ZIP code: 12550
County: Orange
Place of Formation: New York
Activity Description: Medical surgical and home care equipment and disposable supplies.
Address: 5027 RTE 9W, NEWBURGH, NY, United States, 12550

Contact Details

Phone +1 845-569-1250

Website http://www.homehealthpavilion.com

Phone +1 845-926-3228

Shares Details

Shares issued 20

Share Par Value 0

Type NO PAR VALUE

Activities

#423450 Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
X338ANMQB8N7 2024-08-20 5027 RTE 9W, NEWBURGH, NY, 12550, 1946, USA 5027 ROUTE 9W, NEWBURGH, NY, 12550, 1946, USA

Business Information
URL HTTP://WWW.HOMEHEALTHPAVILION.COM
Congressional District 18
State/Country of Incorporation NY, USA
Activation Date 2023-08-23
Initial Registration Date 2009-01-22
Entity Start Date 1991-07-03
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 423450

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MANSOOR HAIDARY
Role VICE PRESIDENT
Address 5027 ROUTE 9W, NEWBURGH, NY, 12550, 1946, USA
Title ALTERNATE POC
Name AHSAN ALI
Role INSTITUTIONAL SALES
Address 5027 RTE 9W, NEWBURGH, NY, 12550, 1946, USA
Government Business
Title PRIMARY POC
Name MANSOOR HAIDARY
Role VICE PRESIDENT
Address 5027 ROUTE 9W, NEWBURGH, NY, 12550, 1946, USA
Title ALTERNATE POC
Name AHSAN ALI
Role INSTITUTIONAL SALES
Address 5027 RTE 9W, NEWBURGH, NY, 12550, 1946, USA
Past Performance
Title PRIMARY POC
Name MANSOOR HAIDARY
Role VICE PRESIDENT
Address 5027 RTE 9W, NEWBURGH, NY, 12550, 1946, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
0UJ33 Active Non-Manufacturer 1992-07-20 2024-06-26 2029-06-26 2025-06-24

Contact Information
POC MANSOOR HAIDARY
Phone +1 845-926-3228
Fax +1 845-569-1291
Address 5027 RTE 9W, NEWBURGH, NY, 12550 1946, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2023 141741956 2024-06-14 HOME HEALTH PAVILION, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2022 141741956 2023-06-26 HOME HEALTH PAVILION, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2021 141741956 2022-08-25 HOME HEALTH PAVILION, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2020 141741956 2021-05-19 HOME HEALTH PAVILION, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2019 141741956 2020-06-26 HOME HEALTH PAVILION, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2018 141741956 2019-05-23 HOME HEALTH PAVILION, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2017 141741956 2018-07-24 HOME HEALTH PAVILION, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2016 141741956 2017-05-09 HOME HEALTH PAVILION, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2015 141741956 2016-05-11 HOME HEALTH PAVILION, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946
HOME HEALTH PAVILION, INC. 401(K) PROFIT SHARING PLAN 2014 141741956 2015-03-26 HOME HEALTH PAVILION, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621610
Sponsor’s telephone number 9145691250
Plan sponsor’s address 5027 ROUTE 9W, NEWBURGH, NY, 125501946

Chief Executive Officer

Name Role Address
ASRAR AHMED Chief Executive Officer 5027 RTE 9W, NEWBURGH, NY, United States, 12550

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5027 RTE 9W, NEWBURGH, NY, United States, 12550

History

Start date End date Type Value
2024-06-18 2024-06-18 Address 5027 RTE 9W, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1999-07-26 2024-06-18 Address 5027 RTE 9W, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1999-07-26 2024-06-18 Address 5027 RTE 9W, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
1997-07-14 1999-07-26 Address 415 ROUTE 9W NORTH, NEWBURGH, NY, 12550, USA (Type of address: Principal Executive Office)
1997-07-14 1999-07-26 Address 415 ROUTE 9W NORTH, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
1997-07-14 1999-07-26 Address 415 ROUTE 9W NORTH, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1993-04-13 1997-07-14 Address 133 SOUTH PLANK ROAD, NEWBURGH, NY, 12550, USA (Type of address: Principal Executive Office)
1993-04-13 1997-07-14 Address 133 SOUTH PLANK ROAD, NEWBURGH, NY, 12550, USA (Type of address: Chief Executive Officer)
1993-04-13 1997-07-14 Address 133 SOUTH PLANK ROAD, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)
1991-07-03 1993-04-13 Address P.O. BOX NO. 4539, NEW WINDSOR, NY, 12553, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240618003914 2024-06-18 BIENNIAL STATEMENT 2024-06-18
050902002611 2005-09-02 BIENNIAL STATEMENT 2005-07-01
010706002765 2001-07-06 BIENNIAL STATEMENT 2001-07-01
990726002103 1999-07-26 BIENNIAL STATEMENT 1999-07-01
970714002477 1997-07-14 BIENNIAL STATEMENT 1997-07-01
930921002683 1993-09-21 BIENNIAL STATEMENT 1993-07-01
930413002623 1993-04-13 BIENNIAL STATEMENT 1992-07-01
910703000197 1991-07-03 CERTIFICATE OF INCORPORATION 1991-07-03

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD HE125410P0055 2010-06-29 2010-07-26 2010-07-26
Unique Award Key CONT_AWD_HE125410P0055_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 4100.00
Current Award Amount 4100.00
Potential Award Amount 4100.00

Description
Title RIFTON CHAIR - MEDIUM HIGH BACK
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Legacy DUNS 781566773
Recipient Address UNITED STATES, 5027 RT 9W, NEWBURGH, ORANGE, NEW YORK, 125501946
PO AWARD VA6301S6553 2011-08-15 2011-08-15 2011-09-30
Unique Award Key CONT_AWD_VA6301S6553_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETIC ORDER
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Legacy DUNS 781566773
Recipient Address UNITED STATES, 5027 RT 9W, NEWBURGH, 125501946
PO AWARD VA630S15831 2011-07-21 2011-07-21 2011-09-30
Unique Award Key CONT_AWD_VA630S15831_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETIC ORDER
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Legacy DUNS 781566773
Recipient Address UNITED STATES, 5027 RT 9W, NEWBURGH, 125501946
PO AWARD VA6301W5087 2011-05-12 2011-05-12 2011-09-30
Unique Award Key CONT_AWD_VA6301W5087_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETIC ORDER
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Legacy DUNS 781566773
Recipient Address UNITED STATES, 5027 RT 9W, NEWBURGH, 125501946
PO AWARD VA6302P5217 2011-11-02 2011-11-02 2012-09-30
Unique Award Key CONT_AWD_VA6302P5217_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETIC ORDER
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Legacy DUNS 781566773
Recipient Address UNITED STATES, 5027 RT 9W, NEWBURGH, 125501946
PURCHASE ORDER AWARD 36C24224P1789 2024-09-03 2024-10-31 2024-10-31
Unique Award Key CONT_AWD_36C24224P1789_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 19775.00
Current Award Amount 19775.00
Potential Award Amount 19775.00

Description
Title CURVED STAIRGLIDE/HOME HEALTH PAVILION/VISN2/CASTLE POINT VAMC/FY24
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Recipient Address UNITED STATES, 5027 RTE 9W, NEWBURGH, ORANGE, NEW YORK, 125501946
PURCHASE ORDER AWARD 36C24224P1696 2024-08-14 2024-10-31 2024-10-31
Unique Award Key CONT_AWD_36C24224P1696_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 14490.00
Current Award Amount 14490.00
Potential Award Amount 14490.00

Description
Title CURVED STAIRGLIDE/HOME HEALTH PAVILION, INC./VISN2/CASTLE POINT VAMC/FY24
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Recipient Address UNITED STATES, 5027 RTE 9W, NEWBURGH, ORANGE, NEW YORK, 125501946
PURCHASE ORDER AWARD 36C24224P1661 2024-08-06 2024-10-31 2024-10-31
Unique Award Key CONT_AWD_36C24224P1661_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 12945.00
Current Award Amount 12945.00
Potential Award Amount 12945.00

Description
Title CURVED STAIRGLIDE/HOME HEALTH PAVILION/VISN2/CASTLE POINT VAMC/FY24
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Recipient Address UNITED STATES, 5027 RTE 9W, NEWBURGH, ORANGE, NEW YORK, 125501946
PURCHASE ORDER AWARD 36C24224P1556 2024-07-15 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24224P1556_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 14250.00
Current Award Amount 14250.00
Potential Award Amount 14250.00

Description
Title CUSTOM CURVED STAIRGLIDE/HOME HEALTH PAVILION/VISN2/ALBANY VAMC/FY24
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Recipient Address UNITED STATES, 5027 RTE 9W, NEWBURGH, ORANGE, NEW YORK, 125501946
PURCHASE ORDER AWARD 36C24224P1514 2024-07-10 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24224P1514_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 14595.00
Current Award Amount 14595.00
Potential Award Amount 14595.00

Description
Title CURVED STAIRGLIDE/HOME HEALTH PAVILION/VISN2/CASTLE POINT VAMC/FY24
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient HOME HEALTH PAVILION, INC.
UEI X338ANMQB8N7
Recipient Address UNITED STATES, 5027 RTE 9W, NEWBURGH, ORANGE, NEW YORK, 125501946

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Related by address

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Date of last update: 22 Jan 2025

Sources: New York Secretary of State

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