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CARE CENTER (HAZEL DELL), INC.

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Company Details

Legal Name: CARE CENTER (HAZEL DELL), INC.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: April 17th 2003
Expiration date: 30 Apr 2026
UBI Number: 602 288 720
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 7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA, 98662-6654, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $710,744

Contact Details

E-Mail: LICENSING@PRESTIGECARE.COM
Phone Number: +1 360-735-7155

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
COGENCY GLOBAL INC. Registered Agent

Key Officers & Management

Name Role
PRESTIGE CARE, INC. Governing Person

U.S. Small Business Administration Profile

DBA:
PORTHAVEN HEALTHCARE CENTER
Phone Number:
E-mail Address:
Contact Person:
OLIVIA BLACK
Last Update Date:
2025-04-29
Naics Primary:
623110

Self-Certification:

For Profit Organization

Commercial and government entity program

CAGE number:
3UJF9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-29
CAGE Expiration:
2030-04-29
SAM Expiration:
2026-04-23

Contact Information

POC:
OLIVIA BLACK

National Provider Identifier

NPI Number:
1578559894

Authorized Person:

Name:
GREGORY J VISLOCKY
Role:
EXEC VP OF FINANCE
Phone:

Taxonomy:

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

Contacts:

Fax:
3607359416
Fax:
3606947470

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26014E4591
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$18,118.19
Base And Exercised Options Value:
$18,118.19
Base And All Options Value:
$18,118.19
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-08-01
Description:
IGF::OT::IGF - NURSING HOME EXPRESS REPORT, POP 08/01/2014 - 09/30/2014
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014J3906
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$18,528.98
Base And Exercised Options Value:
$18,528.98
Base And All Options Value:
$18,528.98
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-07-01
Description:
IGF::OT::IGF - NURSING HOME EXPRESS REPORT, POP 07/01/2014 - 07/31/2014
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014A0054
Award Or Idv Flag:
IDV
Action Obligation:
$0
Base And Exercised Options Value:
$0
Base And All Options Value:
$1,000,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-07-01
Description:
IGF::OT::IGF - COMMUNITY NURSING HOME SERVICES BOA
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Paycheck Protection Program

Jobs Reported:
79
Initial Approval Amount:
$600,000
Date Approved:
2020-05-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$600,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$610,783.56
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $500,000
Mortgage Interest: $100,000
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