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CARE CENTER (SULLIVAN PARK), INC.

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Company Details

Legal Name: CARE CENTER (SULLIVAN PARK), INC.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: May 30th 1986
Expiration date: 31 May 2026
UBI Number: 600 631 839
ZIP code: 98662
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA, 98662-6654, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,002,095

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:
SULLIVAN PARK CARE CENTER
Phone Number:
E-mail Address:
Contact Person:
OLIVIA BLACK
Last Update Date:
2025-04-23
Naics Primary:
623110

Self-Certification:

For Profit Organization

Commercial and government entity program

CAGE number:
6RT39
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-23
CAGE Expiration:
2030-04-23
SAM Expiration:
2026-04-18

Contact Information

POC:
OLIVIA BLACK

National Provider Identifier

NPI Number:
1487640678

Authorized Person:

Name:
GREGORY J VISLOCKY
Role:
ASSISTANT TO PRESIDENT/CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
3607359416
Fax:
5099228817

History

Type Old value New value Date of change
Name change CARE CENTER (SULLIVAN PARK) INC. CARE CENTER (SULLIVAN PARK), INC. 2020-01-23

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26014E9573
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$12,480.66
Base And Exercised Options Value:
$12,480.66
Base And All Options Value:
$12,480.66
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-04-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES 4/1/2014-9/30/2014 668C40437,668C40537,668C40637,668C40737,668C40837,668C40937
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26013J0042
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$18,473.17
Base And Exercised Options Value:
$18,473.17
Base And All Options Value:
$150,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-06-13
Description:
IGF::OT::IGF NURSING HOME AGREEMENT
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26012A0063
Award Or Idv Flag:
IDV
Action Obligation:
$0
Base And Exercised Options Value:
$0
Base And All Options Value:
$650,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-06-13
Description:
IGF::OT::IGF NURSING HOME AGREEMENT
Naics Code:
621610: HOME HEALTH CARE SERVICES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Paycheck Protection Program

Jobs Reported:
152
Initial Approval Amount:
$990,000
Date Approved:
2020-06-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$990,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,007,575.89
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $900,000
Mortgage Interest: $90,000
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