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2850 GRAND ISLAND BOULEVARD OPERATING COMPANY, LLC

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Company Details

Name: 2850 GRAND ISLAND BOULEVARD OPERATING COMPANY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Oct 2011 (14 years ago)
Entity Number: 4152271
ZIP code: 12207
County: Erie
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
DIANA CARNEY
User ID:
P1769066
Trade Name:
ELDERWOOD AT GRAND ISLAND

Unique Entity ID

Unique Entity ID:
SLE8H23PUH67
CAGE Code:
6ZZ86
UEI Expiration Date:
2025-10-30

Business Information

Doing Business As:
ELDERWOOD AT GRAND ISLAND
Activation Date:
2024-11-04
Initial Registration Date:
2013-10-08

Commercial and government entity program

CAGE number:
6ZZ86
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-04
CAGE Expiration:
2029-11-04
SAM Expiration:
2025-10-30

Contact Information

POC:
DIANA CARNEY

National Provider Identifier

NPI Number:
1013280759
Certification Date:
2023-01-19

Authorized Person:

Name:
DR. JEFFREY RUBIN
Role:
CO-CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2015-05-18 2023-10-06 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Registered Agent)
2015-05-18 2023-10-06 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2013-04-03 2015-05-18 Address 641 LEXINGTON AVENUE, 31ST FLOOR, NEW YORK, NY, 10022, USA (Type of address: Service of Process)
2011-10-12 2013-04-03 Address 145 EAST 57TH STREET 11H FL, NEW YORK, NY, 10022, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231006002671 2023-10-06 BIENNIAL STATEMENT 2023-10-01
211001001404 2021-10-01 BIENNIAL STATEMENT 2021-10-01
191002060355 2019-10-02 BIENNIAL STATEMENT 2019-10-01
171004007162 2017-10-04 BIENNIAL STATEMENT 2017-10-01
151008006409 2015-10-08 BIENNIAL STATEMENT 2015-10-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24223D0062
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-08-01
Description:
COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24223K0208
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
50108.79
Base And Exercised Options Value:
50108.79
Base And All Options Value:
50108.79
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: CNH EXPENDITURES FY23 Q1 & Q2
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24223K0207
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
200000.00
Base And Exercised Options Value:
200000.00
Base And All Options Value:
200000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: CNH EXPENDITURES FY23 Q1 & Q2
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
893167.71
Total Face Value Of Loan:
893167.71

Paycheck Protection Program

Jobs Reported:
157
Initial Approval Amount:
$893,167.71
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$893,167.71
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$915,869.06
Servicing Lender:
CFG Community Bank
Use of Proceeds:
Payroll: $893,167.71

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State