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BRIDGE CREST SNF HEALTHCARE, LLC

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Company Details

Legal Name: BRIDGE CREST SNF HEALTHCARE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 14th 2024
Expiration date: 31 May 2026
UBI Number: 605 545 612
ZIP code: 98663
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5220 NE HAZEL DELL AVE, VANCOUVER, WA, 98663-1242, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES

Contact Details

E-Mail: DEB.GOGERTY@PACS.COM

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 Address
JOHN MITCHELL Executor 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
PROVIDENCE GROUP NH, LLC Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
JOSHUA JERGENSEN Governing Person 262 N UNIVERSITY AVE, FARMINGTON, UT, 84025-2975, UNITED STATES
FREDERICK APT, IV Governing Person -
JOHN MITCHELL Governing Person -

U.S. Small Business Administration Profile

DBA:
BRIDGE CREST POST ACUTE
Phone Number:
E-mail Address:
Contact Person:
LINDSEY CARTER
Last Update Date:
2025-04-14
Naics Primary:
623110

Self-Certification:

For Profit Organization

Unique Entity ID

Unique Entity ID:
DAGVKZH3SER6
CAGE Code:
0ETQ3
UEI Expiration Date:
2025-11-20

Business Information

Doing Business As:
BRIDGE CREST POST ACUTE
Activation Date:
2024-11-22
Initial Registration Date:
2024-11-20

National Provider Identifier

NPI Number:
1043069495
Certification Date:
2024-05-17

Authorized Person:

Name:
JOHN MITCHELL
Role:
SECRETARY
Phone:

Taxonomy:

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

Contacts:

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