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FIR LANE TERRACE CONVALESCENT CENTER, LLC

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Company Details

Legal Name: FIR LANE TERRACE CONVALESCENT CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 17th 1979
Expiration date: 31 Oct 2018
UBI Number: 600 346 500
Home State: GEORGIA
Principal Office Street Address: Google Maps Logo 3500 LENOX RD NE STE 510, ATLANTA, GA, 30326

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Registered Agent Information

Name Role Address
CORPORATION SERVICE COMPANY Registered Agent 300 DESCHUTES WAY SW STE 208 MC-CSC1, TUMWATER, WA, 98501, UNITED STATES

Key Officers & Management

Name Role
BRIAN BECKWITH Governing Person
SCOTT BROWN Governing Person

Links between entities

Type:
Headquarter of
Company Number:
0613147
State:
KENTUCKY
KENTUCKY profile:
FIR LANE TERRACE CONVALESCENT CENTER, LLC (KY)

Unique Entity ID

CAGE Code:
3SSH3
UEI Expiration Date:
2016-05-20

Business Information

Doing Business As:
CRESTWOOD CONVALESCENT CENTER
Activation Date:
2015-05-21
Initial Registration Date:
2004-03-23

Central Index Key

CIK number:
0001055650
Phone:
4149088000
Industry (SIC):
Services-Skilled Nursing Care Facilities
EDGAR Link:
View company profile on EDGAR website

Latest Filings

Form type:
424B3
File number:
333-116927-52
Filing date:
2004-07-20
File:
View File
Form type:
S-4
File number:
333-116927-52
Filing date:
2004-06-28
File:
View File
Form type:
424B3
File number:
333-97293-03
Filing date:
2002-11-26
File:
View File

National Provider Identifier

NPI Number:
1780756130
Link:
View on NPI website

Authorized Person:

Name:
DONNA JO MAASSEN
Role:
DIRECTOR OF COMPLIANCE
Phone:
4149088119

Taxonomy:

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

Contacts:

Phone:
+1 414-908-8119
Fax:
4149087105
Phone:
+1 360-377-3951
Fax:
3603775443

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26015E0024
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$68,904
Base And Exercised Options Value:
$68,904
Base And All Options Value:
$68,904
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-05-01
Description:
IGF::OT::IGF EXPRESS REPORT: NURSING HOME EXPENDITURES 5/1/15 - 8/31/15
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26015E9637
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$47,005.27
Base And Exercised Options Value:
$47,005.27
Base And All Options Value:
$47,005.27
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-02-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES 2/1/15-4/30/15 663C50237, 663C50337, 663C50437
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26015E0007
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$3,916.59
Base And Exercised Options Value:
$3,916.59
Base And All Options Value:
$3,916.59
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-01-01
Description:
IGF::OT::IGF - EXPRESS REPORT: NURSING HOME EXPENDITURES 1-1-15 - 8-31-15
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
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