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AVALON GARDENS REHABILITATION & HEALTH CARE CENTER, LLC

Company Details

Name: AVALON GARDENS REHABILITATION & HEALTH CARE CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Apr 2003 (22 years ago)
Entity Number: 2900158
ZIP code: 11598
County: Suffolk
Place of Formation: New York
Address: 945 BROADWAY, WOODMERE, NY, United States, 11598

DOS Process Agent

Name Role Address
C/O SENTOSACARE, LLC DOS Process Agent 945 BROADWAY, WOODMERE, NY, United States, 11598

National Provider Identifier

NPI Number:
1962552216

Authorized Person:

Name:
MS. SUSAN O'CONNOR
Role:
ADMINSTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6317242225

Form 5500 Series

Employer Identification Number (EIN):
020677283
Plan Year:
2018
Number Of Participants:
61
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
65
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
67
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
85
Sponsors Telephone Number:

History

Start date End date Type Value
2009-01-30 2018-01-08 Address 97 POWERHOUSE ROAD, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)
2005-06-16 2009-01-30 Address 7 ROUTE 25A, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)
2003-04-29 2005-06-16 Address ROUTE 25A, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180108006524 2018-01-08 BIENNIAL STATEMENT 2017-04-01
130418002683 2013-04-18 BIENNIAL STATEMENT 2013-04-01
130128002403 2013-01-28 BIENNIAL STATEMENT 2011-04-01
090429002751 2009-04-29 BIENNIAL STATEMENT 2009-04-01
090130000492 2009-01-30 CERTIFICATE OF CHANGE 2009-01-30

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-04-18
Type:
Complaint
Address:
7 RT. 25A, SMITHTOWN, NY, 11787
Safety Health:
Health
Scope:
Complete

Date of last update: 30 Mar 2025

Sources: New York Secretary of State