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HERITAGE GROVE

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Company Details

Legal Name: HERITAGE GROVE
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: September 2nd 1999
Date of Dissolution: December 10th 2020
Expiration date: 30 Sep 2020
UBI Number: 601 978 134
ZIP code: 98902
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 206 S 10TH AVE, YAKIMA, WA, 98902, UNITED STATES

Contact Details

E-Mail: DOUGBAULT@YVMH.ORG
Phone Number: +1 509-654-7635

Nature of Business

Charitable

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Registered Agent Information

Name Role Address
HERITAGE GROVE Registered Agent 206 S 10TH AVE, YAKIMA, WA, 98902-0000, UNITED STATES

Key Officers & Management

Name Role
DOUG BAULT Governing Person
SHAWNIE HAAS Governing Person
RON GENGLER Governing Person

National Provider Identifier

NPI Number:
1740274695
Link:
View on NPI website

Authorized Person:

Name:
MS. KYLLE FISH
Role:
ADMINISTRATOR
Phone:
5092484173

Taxonomy:

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

Contacts:

Phone:
+1 509-248-4173
Fax:
5092496246

Form 5500 Series

Employer Identification Number (EIN):
911997947
Plan Year:
2011
Number Of Participants:
1
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5092484176
File:
View File
Plan Administrator / Signatory:
KYLLE FISH(Plan administrator)
Plan Year:
2011
Number Of Participants:
1
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5092484176
File:
View File
Plan Administrator / Signatory:
KYLLE FISH(Plan administrator)
Plan Year:
2010
Number Of Participants:
16
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5092484176
File:
View File
Plan Administrator / Signatory:
KYLLE FISH(Plan administrator)
Plan Year:
2009
Number Of Participants:
116
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
5092484176
File:
View File
Plan Administrator / Signatory:
KYLLE FISH(Plan administrator)

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA2600628
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$53,886.26
Base And Exercised Options Value:
$53,886.26
Base And All Options Value:
$53,886.26
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-07-01
Description:
FY 2009 4TH QUARTER COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA2600627
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$83,376.46
Base And Exercised Options Value:
$83,376.46
Base And All Options Value:
$83,376.46
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-04-01
Description:
FY 2009 3RD QUARTER COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA2600002
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$96,613.54
Base And Exercised Options Value:
$96,613.54
Base And All Options Value:
$96,613.54
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-01-01
Description:
FY 2009 2ND QUARTER COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS
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