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BROOKHAVEN CARE CENTER LLC

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Company Details

Name: BROOKHAVEN CARE CENTER LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2018 (7 years ago)
Entity Number: 5417129
ZIP code: 11719
County: Suffolk
Place of Formation: New York
Address: 111 BEAVERDAM ROAD, BROOKHAVEN, NY, United States, 11719

Contact Details

Phone +1 631-286-2500

Fax +1 631-286-2500

DOS Process Agent

Name Role Address
BROOKHAVEN CARE CENTER LLC DOS Process Agent 111 BEAVERDAM ROAD, BROOKHAVEN, NY, United States, 11719

National Provider Identifier

NPI Number:
1578163309
Certification Date:
2020-10-30

Authorized Person:

Name:
DANIEL ZEIDMAN
Role:
OPERATOR DESIGNEE
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
832288919
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2019-05-06 2024-09-02 Address 111 BEAVERDAM ROAD, BROOKHAVEN, NY, 11719, USA (Type of address: Service of Process)
2018-09-27 2019-05-06 Address 270 WEST 39TH STREET,, SUITE 1100, NEW YORK, NY, 10018, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240902000675 2024-09-02 BIENNIAL STATEMENT 2024-09-02
230203000906 2023-02-03 BIENNIAL STATEMENT 2022-09-01
200526000393 2020-05-26 CERTIFICATE OF AMENDMENT 2020-05-26
200304000643 2020-03-04 CERTIFICATE OF AMENDMENT 2020-03-04
190507000850 2019-05-07 CERTIFICATE OF AMENDMENT 2019-05-07

USAspending Awards / Financial Assistance

Date:
2020-07-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-07-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
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:
239176.10
Total Face Value Of Loan:
239176.10

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
239176.1
Current Approval Amount:
239176.1
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
240820.85

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State