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TUPPER LAKE CENTER LLC

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Company Details

Name: TUPPER LAKE CENTER LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Feb 2023 (3 years ago)
Entity Number: 6739330
ZIP code: 10469
County: Franklin
Place of Formation: New York
Address: 2316 Bruner Avenue, Bronx, NY, United States, 10469

DOS Process Agent

Name Role Address
THE LIMITED LIABILITY COMPANY DOS Process Agent 2316 Bruner Avenue, Bronx, NY, United States, 10469

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
STEPHEN BERNIER
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P3269180

Unique Entity ID

Unique Entity ID:
WTM6GBR6B9K1
CAGE Code:
9VR04
UEI Expiration Date:
2026-04-29

Business Information

Activation Date:
2025-05-01
Initial Registration Date:
2024-04-19

Commercial and government entity program

CAGE number:
9VR04
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-01
CAGE Expiration:
2030-05-01
SAM Expiration:
2026-04-29

Contact Information

POC:
STEPHEN BERNIER

National Provider Identifier

NPI Number:
1356115554
Certification Date:
2023-11-08

Authorized Person:

Name:
MR. MENAJEM SALAMON
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
7182282511

Form 5500 Series

Employer Identification Number (EIN):
922777837
Plan Year:
2024
Number Of Participants:
44
Sponsors DBA Name:
TUPPER LAKE CENTER FOR NURSING AND REHABILITATION, LLC
Sponsors Telephone Number:

History

Start date End date Type Value
2023-04-21 2023-12-11 Address 2316 Bruner Avenue, Bronx, NY, 10469, USA (Type of address: Service of Process)
2023-02-22 2023-04-21 Address 2316 Bruner Avenue, Bronx, NY, 10469, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231211001135 2023-12-11 CERTIFICATE OF AMENDMENT 2023-12-11
230421000767 2023-04-20 CERTIFICATE OF PUBLICATION 2023-04-20
230222003568 2023-02-22 ARTICLES OF ORGANIZATION 2023-02-22

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24224D0042
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
2800568.03
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-07-01
Description:
COMMUNITY NURSING HOME SERVICES TO ELIGIBLE BENEFICIARIES OF THE ALBANY STRATTON VA MEDICAL CENTER
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State