| Name: | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 10 Apr 1981 (44 years ago) |
| Entity Number: | 692036 |
| ZIP code: | 14750 |
| County: | Chautauqua |
| Place of Formation: | New York |
| Address: | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750 |
Contact Details
Fax +1 716-338-0033
Phone +1 716-338-0033
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G7Y9CG1LBKW5 | 2024-08-20 | 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750, 1702, USA | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | http://www.chpc.care |
| Congressional District | 23 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2023-08-23 |
| Initial Registration Date | 2008-10-22 |
| Entity Start Date | 1993-04-19 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621610 |
| Product and Service Codes | Q999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | EMILY MORSE |
| Role | FINANCE MANAGER |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| Title | ALTERNATE POC |
| Name | RENEE MOULTON |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL TESTA |
| Role | PRESIDENT |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| Title | ALTERNATE POC |
| Name | RENEE MOULTON |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | SHAUNA ANDERSON |
| Role | PRESIDENT |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| Title | ALTERNATE POC |
| Name | RENEE MOULTON |
| Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, 1702, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 58AW2 | Active | Non-Manufacturer | 2008-10-23 | 2024-06-18 | 2029-06-18 | 2025-06-14 | |||||||||||||||
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| POC | MICHAEL TESTA |
| Phone | +1 716-338-0033 |
| Fax | +1 716-338-1575 |
| Address | 20 W FAIRMOUNT AVE, LAKEWOOD, NY, 14750 1702, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2023 | 222432409 | 2024-05-01 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 62 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2022 | 222432409 | 2023-04-17 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 68 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2021 | 222432409 | 2022-04-12 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 72 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2020 | 222432409 | 2021-04-30 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 66 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2019 | 222432409 | 2020-05-05 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 68 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2018 | 222432409 | 2019-04-03 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 69 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2017 | 222432409 | 2018-05-07 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 81 | |||||||||||||
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| CHAUTAUQUA HOSPICE AND PALLIATIVE CARE PROFIT SHARING PLAN | 2016 | 222432409 | 2017-05-01 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE | 84 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, United States, 14750 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2010-02-12 | 2016-05-11 | Address | 20 WEST FAIRMOUNT AVENUE, LAKEWOOD, NY, 14750, USA (Type of address: Service of Process) |
| 1993-02-10 | 2016-05-11 | Name | HOSPICE CHAUTAUQUA COUNTY, INC. |
| 1993-02-10 | 2010-02-12 | Address | C/O W.C.A. HOSPITAL, FOOTE AVENUE, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process) |
| 1981-04-10 | 1993-02-10 | Name | HOSPICE INFORMATIONAL AND REFERRAL SERVICE OF SOUTHWESTERN NEW YORK, INC. |
| 1981-04-10 | 1993-02-10 | Address | 715 FALCONER ST, JAMESTOWN, NY, 14701, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 160511000686 | 2016-05-11 | CERTIFICATE OF AMENDMENT | 2016-05-11 |
| 100212000142 | 2010-02-12 | CERTIFICATE OF CHANGE | 2010-02-12 |
| 930210000185 | 1993-02-10 | CERTIFICATE OF AMENDMENT | 1993-02-10 |
| A755738-8 | 1981-04-10 | CERTIFICATE OF INCORPORATION | 1981-04-10 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DCA | AWARD | VA244P0730 | 2008-10-01 | 2009-09-30 | 2009-09-30 | |||||||||||||||||||||
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| Title | HOSPICE SERVICES |
| NAICS Code | 621610: HOME HEALTH CARE SERVICES |
| Product and Service Codes | Q401: NURSING SERVICES |
Recipient Details
| Recipient | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| UEI | G7Y9CG1LBKW5 |
| Legacy DUNS | 158863063 |
| Recipient Address | UNITED STATES, 4840 W LAKE RD, MAYVILLE, 147579408 |
Date of last update: 21 Dec 2024
Sources: New York Secretary of State
