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HERITAGE REHAB, LLC

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Company Details

Legal Name: HERITAGE REHAB, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 26th 2006
Expiration date: 31 Jan 2026
UBI Number: 602 578 316
ZIP code: 98408
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7411 PACIFIC AVE, TACOMA, WA, 98408-7118, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $606,360

Contact Details

E-Mail: LEGAL@AVAMERE.COM
Phone Number: +1 503-570-3405

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
NATIONAL REGISTERED AGENTS, INC. Registered Agent

Key Officers & Management

Name Role
KARL R MILLER JR Governing Person

Unique Entity ID

Unique Entity ID:
WME2K86ARCJ5
CAGE Code:
5C9L2
UEI Expiration Date:
2025-10-29

Business Information

Doing Business As:
HERITAGE REHAB & SPECIALTY
Activation Date:
2024-10-31
Initial Registration Date:
2009-03-03

Commercial and government entity program

CAGE number:
5C9L2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-31
CAGE Expiration:
2029-10-31
SAM Expiration:
2025-10-29

Contact Information

POC:
CAROLINE THURSTON

National Provider Identifier

NPI Number:
1841338704

Authorized Person:

Name:
KARL MILLER JR.
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2534712076

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26020K0067
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$9,305.84
Base And Exercised Options Value:
$9,305.84
Base And All Options Value:
$9,305.84
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-08-01
Description:
EXPRESS REPORT: POP 8/01/2020 - 09/31/2020
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26020K0334
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$83,797.21
Base And Exercised Options Value:
$83,797.21
Base And All Options Value:
$83,797.21
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
EXPRESS REPORT: POP CNH HERITAGE REHAB 10/01/2019 - 07/31/2020
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C26019K0640
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$43,444.62
Base And Exercised Options Value:
$43,444.62
Base And All Options Value:
$43,444.62
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-01-01
Description:
EXPRESS REPORT: AVAMERE HERITAGE REHAB 01/01/2019 - 09/30/2019
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Paycheck Protection Program

Jobs Reported:
138
Initial Approval Amount:
$738,800
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$738,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$748,191.87
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $738,800
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