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  5. WELLSVILLE MANOR, LLC

WELLSVILLE MANOR, LLC

Company Details

Name: WELLSVILLE MANOR, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Mar 2001 (24 years ago)
Entity Number: 2622174
ZIP code: 14897
County: Allegany
Place of Formation: New York
Address: 4192A BOLIVAR ROAD, WELLSVILLE, NY, United States, 14897

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VNKRM4TZXEM5 2025-04-22 4192A BOLIVAR RD, WELLSVILLE, NY, 14895, 9325, USA 4192A BOLIVAR ROAD, WELLSVILLE, NY, 14895, 9325, USA

Business Information
Doing Business As WELLSVILLE MANOR CARE CENTER
Congressional District 23
State/Country of Incorporation NY, USA
Activation Date 2024-04-24
Initial Registration Date 2005-11-03
Entity Start Date 2001-04-19
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110
Product and Service Codes R499, R699

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PENNY MCKEE
Role BUSINESS OFFICE MANGER
Address WELLSVILLE MANOR CARE CENTER, WELLSVILLE, NY, 14895, 9325, USA
Government Business
Title PRIMARY POC
Name HUNTER KANE
Role ADMINISTRATOR
Address WELLSVILLE MANOR CARE CENTER, 4192A BOLIVAR ROAD, WELLSVILLE, NY, 14895, 9325, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
47BA9 Active Non-Manufacturer 2005-11-04 2024-07-26 2029-07-26 2025-07-24

Contact Information
POC HUNTER KANE
Phone +1 585-593-4400
Fax +1 585-593-4418
Address 4192A BOLIVAR RD, WELLSVILLE, NY, 14895 9325, 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

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900CAZ45JB7QDJV49 2622174 US-NY GENERAL ACTIVE No data

Addresses
Legal 4192A Bolivar Rd, Wellsville, US-NY, US, 14895
Headquarters 4192A Bolivar Rd, Wellsville, US-NY, US, 14895

Registration details
Registration Date 2019-07-16
Last Update 2022-05-17
Status LAPSED
Next Renewal 2022-05-16
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 2622174

DOS Process Agent

Name Role Address
WELLSVILLE MANOR CARE CENTER DOS Process Agent 4192A BOLIVAR ROAD, WELLSVILLE, NY, United States, 14897

Licenses

Number Type Date End date Address
21WE1279440 Appearance Enhancement Business License 2007-07-09 2027-07-09 4192A BOLIVAR RD, WELLSVILLE, NY, 14895

History

Start date End date Type Value
2001-03-29 2011-04-05 Address 4100 BOLIVAR RD, WELLSVILLE, NY, 14897, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140626002062 2014-06-26 BIENNIAL STATEMENT 2013-03-01
110405002228 2011-04-05 BIENNIAL STATEMENT 2011-03-01
090413002902 2009-04-13 BIENNIAL STATEMENT 2009-03-01
070309002570 2007-03-09 BIENNIAL STATEMENT 2007-03-01
050513002192 2005-05-13 BIENNIAL STATEMENT 2005-03-01
030304002235 2003-03-04 BIENNIAL STATEMENT 2003-03-01
010719000821 2001-07-19 AFFIDAVIT OF PUBLICATION 2001-07-19
010719000820 2001-07-19 AFFIDAVIT OF PUBLICATION 2001-07-19
010329000593 2001-03-29 ARTICLES OF ORGANIZATION 2001-03-29

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD VA528FY08 2008-09-30 2008-09-30 2010-09-30
Unique Award Key CONT_AWD_VA528FY08_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 23925.00
Current Award Amount 23925.00
Potential Award Amount 23925.00

Description
Title NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
No data IDV VA528BO0015 2007-10-01 No data No data
Unique Award Key CONT_IDV_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CNH
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Legacy DUNS 141149729
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, 148959325
DELIVERY ORDER AWARD VA528FY0901 2008-12-31 2008-12-31 2010-09-30
Unique Award Key CONT_AWD_VA528FY0901_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 2800.00
Current Award Amount 15165.00
Potential Award Amount 15165.00

Description
Title NURSING HOME SERVICES
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
DELIVERY ORDER AWARD VA528FY0902 2008-12-31 2008-12-31 2010-09-30
Unique Award Key CONT_AWD_VA528FY0902_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 1020.48
Current Award Amount 16185.48
Potential Award Amount 16185.48

Description
Title NURSING HOME SERVICES
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
DELIVERY ORDER AWARD VA5280C5002 2009-10-01 2010-09-30 2011-09-30
Unique Award Key CONT_AWD_VA5280C5002_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 87261.22
Current Award Amount 103446.70
Potential Award Amount 103446.70

Description
Title CNH - DO - EXPRESS REPORT. ACTIVITY: GEC EXPENDITURES.
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
DELIVERY ORDER AWARD VA528FY11Q1Q3 2010-10-01 2011-06-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY11Q1Q3_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 15956.01
Current Award Amount 77551.42
Potential Award Amount 77551.42

Description
Title DO EXPRESS REPORT GEC EXPENDITURES COMMUNITY NURSING HOME BATH NY
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
DELIVERY ORDER AWARD VA528FY11Q4 2011-07-01 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY11Q4_3600_VA528BO0015_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 5170.00
Current Award Amount 5170.00
Potential Award Amount 5170.00

Description
Title EXPRESS REPORT FPDS EXPENDITURES FOR 'COMMUNITY NURSING HOME' BATH NY
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Recipient Address UNITED STATES, 4192A BOLIVAR RD, WELLSVILLE, ALLEGANY, NEW YORK, 148959325
No data IDV VA528BO0336 2012-10-01 No data No data
Unique Award Key CONT_IDV_VA528BO0336_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CT CRITICAL GOVERNMENT FUNCTION COMMUNITY NURSING HOME BATH NY
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Legacy DUNS 141149729
Recipient Address UNITED STATES, 4192 A BOULIVARD RD, WELLSVILLE, 148959325
DO AWARD VA52812J1111Q4 2012-06-01 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA52812J1111Q4_3600_VA528BO0336_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title IGF::CT::IGF EXPRESS REPORT FPDS EXPENDITURES FOR COMMUNITY NURSING HOME SERVICES BUFFALO NY CT CRITICAL GOVERNMENT FUNCTION
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Legacy DUNS 141149729
Recipient Address UNITED STATES, 4192 A BOULIVARD RD, WELLSVILLE, 148959325
DO AWARD VA52812J1111Q3 2012-04-01 2012-06-30 2012-06-30
Unique Award Key CONT_AWD_VA52812J1111Q3_3600_VA528BO0336_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title IGF::CT::IGF EXPRESS REPORT FPDS EXPENDITURES FOR COMMUNITY NURSING HOME FY12 3RD QUARTER BATH NY CT CRITICAL GOVERNMENT FUNCTION
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient WELLSVILLE MANOR, LLC
UEI VNKRM4TZXEM5
Legacy DUNS 141149729
Recipient Address UNITED STATES, 4192 A BOULIVARD RD, WELLSVILLE, 148959325

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8061367204 2020-04-28 0296 PPP 4192A BOLIVAR RD, WELLSVILLE, NY, 14895-9325
Loan Status Date 2023-11-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1096704.17
Loan Approval Amount (current) 1096704.17
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WELLSVILLE, ALLEGANY, NY, 14895-9325
Project Congressional District NY-23
Number of Employees 160
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1112238.14
Forgiveness Paid Date 2021-10-04

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2866976 WELLSVILLE MANOR, LLC WELLSVILLE MANOR CARE CENTER VNKRM4TZXEM5 4192A BOLIVAR RD, WELLSVILLE, NY, 14895-9325
Capabilities Statement Link -
Phone Number 585-593-4400
Fax Number 585-593-4418
E-mail Address WMAdmin@wellsvillemanorcarecenter.com
WWW Page -
E-Commerce Website -
Contact Person HUNTER KANE
County Code (3 digit) 003
Congressional District 23
Metropolitan Statistical Area -
CAGE Code 47BA9
Year Established 2001
Accepts Government Credit Card No
Legal Structure LLC
Ownership and Self-Certifications -
Business Development Servicing Office BUFFALO DISTRICT OFFICE (SBA office code 0296)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 623110
NAICS Code's Description Nursing Care Facilities (Skilled Nursing Facilities)
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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