| Name: | BLOSSOM VIEW NURSING HOME, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 29 Dec 1983 (41 years ago) |
| Date of dissolution: | 10 May 2022 |
| Entity Number: | 883972 |
| ZIP code: | 14551 |
| County: | Wayne |
| Place of Formation: | New York |
| Address: | 6884 MAPLE AVENUE, SODUS, NY, United States, 14551 |
| Principal Address: | 6884 MAPLE AVE, SODUS, NY, United States, 14551 |
Shares Details
Shares issued 100
Share Par Value 1
Type PAR VALUE
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 583K1 | Active | Non-Manufacturer | 2008-10-16 | 2024-03-10 | No data | No data | |||||||||||||||
|
|||||||||||||||||||||
| POC | NAOMI WENTZ |
| Phone | +1 315-483-9118 |
| Fax | +1 315-483-9432 |
| Address | 6884 MAPLE AVE, SODUS, NY, 14551 9303, 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 |
|---|
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 6884 MAPLE AVENUE, SODUS, NY, United States, 14551 |
| Name | Role | Address |
|---|---|---|
| JOHN L GHERTNER | Chief Executive Officer | 6055 ROBINSON RD, SODUS, NY, United States, 14551 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2022-05-10 | 2024-10-14 | Shares | Share type: PAR VALUE, Number of shares: 100, Par value: 1 |
| 2010-01-27 | 2022-05-11 | Address | 6055 ROBINSON RD, SODUS, NY, 14551, USA (Type of address: Chief Executive Officer) |
| 2008-01-03 | 2010-01-27 | Address | 1250 PORTLAND AVENUE, ROCHESTER, NY, 14621, USA (Type of address: Principal Executive Office) |
| 2008-01-03 | 2010-01-27 | Address | 1250 PORTLAND AVENUE, ROCHESTER, NY, 14621, USA (Type of address: Chief Executive Officer) |
| 2008-01-03 | 2022-05-11 | Address | 6884 MAPLE AVENUE, SODUS, NY, 14551, USA (Type of address: Service of Process) |
| 1993-12-15 | 2008-01-03 | Address | 6884 MAPLE AVENUE, SODUS, NY, 14551, USA (Type of address: Service of Process) |
| 1992-12-21 | 2008-01-03 | Address | 1250 PORTLAND AVE, ROCHESTER, NY, 14621, USA (Type of address: Principal Executive Office) |
| 1992-12-21 | 2008-01-03 | Address | 1250 PORTLAND AVE, ROCHESTER, NY, 14621, USA (Type of address: Chief Executive Officer) |
| 1989-08-23 | 1993-12-15 | Address | 6884 MAPLE AVE, SODUS, NY, 14551, USA (Type of address: Service of Process) |
| 1987-03-31 | 2022-05-10 | Shares | Share type: PAR VALUE, Number of shares: 100, Par value: 1 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220511001263 | 2022-05-10 | CERTIFICATE OF DISSOLUTION-CANCELLATION | 2022-05-10 |
| 140123002296 | 2014-01-23 | BIENNIAL STATEMENT | 2013-12-01 |
| 111229002215 | 2011-12-29 | BIENNIAL STATEMENT | 2011-12-01 |
| 100127002044 | 2010-01-27 | BIENNIAL STATEMENT | 2009-12-01 |
| 080103002847 | 2008-01-03 | BIENNIAL STATEMENT | 2007-12-01 |
| 060119002800 | 2006-01-19 | BIENNIAL STATEMENT | 2005-12-01 |
| 031202002520 | 2003-12-02 | BIENNIAL STATEMENT | 2003-12-01 |
| 000111002779 | 2000-01-11 | BIENNIAL STATEMENT | 1999-12-01 |
| 971230002294 | 1997-12-30 | BIENNIAL STATEMENT | 1997-12-01 |
| 931215002803 | 1993-12-15 | BIENNIAL STATEMENT | 1993-12-01 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | VA528FY08 | 2008-09-30 | 2008-09-30 | 2011-12-31 | |||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||
| Obligated Amount | 17949.84 |
| Current Award Amount | 17949.84 |
| Potential Award Amount | 17949.84 |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BLOSSOM VIEW NURSING HOME, INC. |
| UEI | MEU7EA7MY4E6 |
| Recipient Address | UNITED STATES, 6884 MAPLE AVE, SODUS, WAYNE, NEW YORK, 145519303 |
| Unique Award Key | CONT_IDV_VA528BO0024LLW_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BLOSSOM VIEW NURSING HOME, INC. |
| UEI | MEU7EA7MY4E6 |
| Legacy DUNS | 073695819 |
| Recipient Address | UNITED STATES, 6884 MAPLE AVE, SODUS, 145519303 |
| Unique Award Key | CONT_IDV_VA528BO0024_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | CNH |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BLOSSOM VIEW NURSING HOME, INC. |
| UEI | MEU7EA7MY4E6 |
| Legacy DUNS | 073695819 |
| Recipient Address | UNITED STATES, 6884 MAPLE AVE, SODUS, 145519303 |
| Unique Award Key | CONT_AWD_VA5280C2021_3600_VA528BO0024LLW_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Current Award Amount | 0.00 |
| Potential Award Amount | 0.00 |
Description
| Title | CNH - DO - EXPRESS REPORT. GEC EXPENDITURE |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BLOSSOM VIEW NURSING HOME, INC. |
| UEI | MEU7EA7MY4E6 |
| Recipient Address | UNITED STATES, 6884 MAPLE AVE, SODUS, WAYNE, NEW YORK, 145519303 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 307689497 | 0215800 | 2005-02-08 | 6884 MAPLE AVENUE, SODUS, NY, 14551 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 F02 IV |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-04-05 |
| Nr Instances | 1 |
| Nr Exposed | 200 |
| Gravity | 01 |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19101030 G02 V |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-04-05 |
| Nr Instances | 1 |
| Nr Exposed | 200 |
| Gravity | 01 |
| Citation ID | 01003 |
| Citaton Type | Other |
| Standard Cited | 19101030 H02 IB |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-04-05 |
| Nr Instances | 1 |
| Gravity | 01 |
| Citation ID | 01004 |
| Citaton Type | Other |
| Standard Cited | 19101200 G01 |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-04-05 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 01 |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Safety |
| Close Conference | 2005-02-09 |
| Emphasis | N: SSTARG04 |
| Case Closed | 2005-04-06 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A01 |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-03-21 |
| Current Penalty | 350.0 |
| Initial Penalty | 573.0 |
| Nr Instances | 2 |
| Nr Exposed | 1 |
| Gravity | 01 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100022 B01 |
| Issuance Date | 2005-03-23 |
| Abatement Due Date | 2005-03-28 |
| Nr Instances | 1 |
| Nr Exposed | 10 |
| Gravity | 01 |
| Inspection Type | Planned |
| Scope | NoInspection |
| Safety/Health | Health |
| Emphasis | N: SSTARG04 |
| Case Closed | 2004-12-20 |
| Inspection Type | Planned |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 1989-05-11 |
| Emphasis | N: BLOOD |
| Case Closed | 1989-06-22 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100132 C |
| Issuance Date | 1989-05-19 |
| Abatement Due Date | 1989-06-22 |
| Current Penalty | 150.0 |
| Initial Penalty | 200.0 |
| Nr Instances | 1 |
| Nr Exposed | 30 |
| Gravity | 04 |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 1989-05-19 |
| Abatement Due Date | 1989-06-22 |
| Current Penalty | 150.0 |
| Initial Penalty | 200.0 |
| Nr Instances | 1 |
| Nr Exposed | 15 |
| Gravity | 04 |
Date of last update: 17 Mar 2025
Sources: New York Secretary of State
