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400 29TH STREET NORTHEAST OPERATIONS LLC

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Company Details

Legal Name: 400 29TH STREET NORTHEAST OPERATIONS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 6th 2015
Expiration date: 31 Jul 2025
UBI Number: 603 521 622
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 400 29TH ST NE, PUYALLUP, WA, 98372-6774, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 9526 W PICO BLVD, LOS ANGELES, CA, 90035-1202, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,114,858

Contact Details

E-Mail: LEGAL@NEWGENHCG.COM
Phone Number: +1 310-730-4800

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role
AARON ROBIN Governing Person
AVROHOM TRESS Governing Person
MICHAEL BERG Governing Person

U.S. Small Business Administration Profile

DBA:
LINDEN GROVE HEALTH CARE CENTER
Phone Number:
E-mail Address:
Contact Person:
JONATHAN LEW
Last Update Date:
2025-01-16
Naics Primary:
623110

Self-Certification:

Self-Certified Small Disadvantaged Business
For Profit Organization
Limited Liability Company

Unique Entity ID

Unique Entity ID:
EBUXRHL3PMD9
CAGE Code:
7HKY5
UEI Expiration Date:
2026-01-16

Business Information

Doing Business As:
LINDEN GROVE HEALTH CARE CENTER
Activation Date:
2025-01-16
Initial Registration Date:
2015-11-20

Commercial and government entity program

CAGE number:
7HKY5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-16
CAGE Expiration:
2030-01-16
SAM Expiration:
2026-01-16

Contact Information

POC:
JONATHAN LEW

National Provider Identifier

NPI Number:
1790160604

Authorized Person:

Name:
MICHAEL T BERG
Role:
ASSISTANT SECRETARY
Phone:

Taxonomy:

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

Contacts:

Fax:
2538404411
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