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QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC

Company Details

Name: QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Feb 2012 (13 years ago)
Entity Number: 4197367
ZIP code: 11377
County: Queens
Place of Formation: New York
Address: 61-11 QUEENS BOULEVARD, WOODSIDE, NY, United States, 11377

DOS Process Agent

Name Role Address
QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC DOS Process Agent 61-11 QUEENS BOULEVARD, WOODSIDE, NY, United States, 11377

National Provider Identifier

NPI Number:
1972926681
Certification Date:
2021-12-15

Authorized Person:

Name:
MR. JOSEPH MALONE
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QA0600X - Adult Day Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
7188030694

Form 5500 Series

Employer Identification Number (EIN):
464655926
Plan Year:
2023
Number Of Participants:
251
Sponsors Telephone Number:

History

Start date End date Type Value
2023-03-16 2024-12-04 Address 61-11 QUEENS BOULEVARD, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)
2014-06-04 2023-03-16 Address 61-11 QUEENS BLVD, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)
2012-02-02 2014-06-04 Address 61-11 QUEENS BOULEVARD, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241204001436 2024-12-04 BIENNIAL STATEMENT 2024-12-04
230316001472 2023-03-16 BIENNIAL STATEMENT 2022-02-01
211116001757 2021-11-16 BIENNIAL STATEMENT 2021-11-16
191106060413 2019-11-06 BIENNIAL STATEMENT 2018-02-01
160104000267 2016-01-04 CERTIFICATE OF PUBLICATION 2016-01-04

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-04-05
Type:
FollowUp
Address:
61-11 QUEENS BOULEVARD, FLUSHING, NY, 11377
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-06-18
Type:
Fat/Cat
Address:
61-11 QUEENS BOULEVARD, FLUSHING, NY, 11377
Safety Health:
Health
Scope:
Partial

Date of last update: 26 Mar 2025

Sources: New York Secretary of State