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LACEY NURSING CENTER, INC.

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Company Details

Legal Name: LACEY NURSING CENTER, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 16th 1979
Date of Dissolution: August 3rd 2023
Expiration date: 31 Mar 2023
UBI Number: 600 338 248
ZIP code: 98503
City: Lacey
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1420 CARPENTER RD SE, LACEY, WA, 98503-2905, UNITED STATES

Contact Details

E-Mail: LPSLCORPSEA@LANEPOWELL.COM
Phone Number: +1 360-455-9159

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LPSL CORPORATE SERVICES, INC. Registered Agent 1420 5TH AVE STE 4200, SEATTLE, WA, 98101-2375, UNITED STATES

Key Officers & Management

Name Role
BURTON LEVEE Governing Person

Unique Entity ID

CAGE Code:
5JPD0
UEI Expiration Date:
2020-12-22

Business Information

Doing Business As:
ROO-LAN HEALTH CARE CENTER
Activation Date:
2019-12-23
Initial Registration Date:
2009-06-22

Commercial and government entity program

CAGE number:
5JPD0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-24
CAGE Expiration:
2024-12-23
SAM Expiration:
2020-12-22

Contact Information

POC:
BURTON C. LEVEE

National Provider Identifier

NPI Number:
1821084229

Authorized Person:

Name:
MR. BURTON C. LEVEE
Role:
ADMINISTRATOR/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3604911891

Form 5500 Series

Employer Identification Number (EIN):
911069902
Plan Year:
2018
Number Of Participants:
78
Sponsor's DBA Name:
ROO LAN HEALTHCARE CENTER
Sponsor's telephone number:
Plan Administrator / Signatory:
GARY ENGELMANN(Plan administrator)
Plan Year:
2017
Number Of Participants:
92
Sponsor's DBA Name:
ROO LAN HEALTHCARE CENTER
Sponsor's telephone number:
Plan Administrator / Signatory:
GARY ENGELMANN(Plan administrator)
Plan Year:
2016
Number Of Participants:
0
Sponsor's DBA Name:
ROO LAN HEALTHCARE CENTER
Sponsor's telephone number:
Plan Administrator / Signatory:
GARY ENGELMANN(Plan administrator)

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26014E9596
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$128,496.62
Base And Exercised Options Value:
$128,496.62
Base And All Options Value:
$128,496.62
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-07-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES FY14 7/1/15-9/30/15 663C40737, 663C40837, 663C40937
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014E9595
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$113,324.5
Base And Exercised Options Value:
$113,324.5
Base And All Options Value:
$113,324.5
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-05-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES FY14 5/1/15-6/30/15663C40537, 663C40637
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014J3408
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$159,936.03
Base And Exercised Options Value:
$159,936.03
Base And All Options Value:
$159,936.03
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-01-01
Description:
IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. FY14 EXPRESS REPORT 01/01/2014-04/30/2014
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
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