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LAKESIDE NURSING HOME, INC.

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Company Details

Name: LAKESIDE NURSING HOME, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 15 Feb 1972 (53 years ago)
Date of dissolution: 25 Jun 2003
Entity Number: 323772
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 1229 TRUMANSBURG ROAD, ITHACA, NY, United States, 14850

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DAVID E BARLOW Chief Executive Officer 1229 TRUMANSBURG ROAD, ITHACA, NY, United States, 14850

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1229 TRUMANSBURG ROAD, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1053535617

Authorized Person:

Name:
MR. PATRICK M DEPTULA
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6072730373

History

Start date End date Type Value
1972-02-15 1994-03-11 Address 1229 TRUMANSBURG RD., ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20091030020 2009-10-30 ASSUMED NAME CORP INITIAL FILING 2009-10-30
DP-1657261 2003-06-25 DISSOLUTION BY PROCLAMATION 2003-06-25
000407002271 2000-04-07 BIENNIAL STATEMENT 2000-02-01
980224002178 1998-02-24 BIENNIAL STATEMENT 1998-02-01
940311002584 1994-03-11 BIENNIAL STATEMENT 1994-02-01

OSHA's Inspections within Industry

Inspection Summary

Date:
1977-04-07
Type:
Complaint
Address:
1229 TRUMANSBURG RD, Ithaca, NY, 14850
Safety Health:
Safety
Scope:
Complete

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State