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GREATER HARLEM NURSING HOME AND REHABILITATION CENTER, INC.

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Company Details

Name: GREATER HARLEM NURSING HOME AND REHABILITATION CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 08 Feb 1973 (52 years ago)
Entity Number: 253550
ZIP code: 11042
County: New York
Place of Formation: New York
Address: 3 DAKOTA DRIVE STE 300, LAKE SUCCESS, NY, United States, 11042

Agent

Name Role Address
GREATER HARLEM NURSING HOME COMPANY, INC. Agent 215 W. 133RD ST., NEW YORK, NY, 10030

DOS Process Agent

Name Role Address
C/O ABRAMS FENSTERMAN DOS Process Agent 3 DAKOTA DRIVE STE 300, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1699850669

Authorized Person:

Name:
MR. THOMAS M. FORISTALL
Role:
ADMINISTRATOR/CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2129261799

Form 5500 Series

Employer Identification Number (EIN):
132739672
Plan Year:
2017
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
56
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
41
Sponsors Telephone Number:

History

Start date End date Type Value
2009-02-26 2019-02-11 Address 30 WEST 138TH STREET, NEW YORK, NY, 10037, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190211000527 2019-02-11 CERTIFICATE OF CHANGE 2019-02-11
090226000826 2009-02-26 CERTIFICATE OF AMENDMENT 2009-02-26
A48559-10 1973-02-08 CERTIFICATE OF INCORPORATION 1973-02-08

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State