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MANOR PARK HEALTHCARE, LLC

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Company Details

Legal Name: MANOR PARK HEALTHCARE, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: August 5th 2002
Expiration date: 31 Aug 2025
UBI Number: 602 223 827
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1710 PLAZA WAY, WALLA WALLA, WA, 99362-4362, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA, 92675-1049, UNITED STATES

Contact Details

E-Mail: RENEWALS@ENSIGNSERVICES.NET

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
STEVE FARMSWORTH Governing Person
SOON BURNAM Governing Person
DAVID BUCHANAN Governing Person
STEVEN ROSS Governing Person

U.S. Small Business Administration Profile

DBA:
PARK MANOR REHABILITATION CENTER
Phone Number:
Contact Person:
OLIVIA BLACK
Last Update Date:
2024-11-23
Naics Primary:
623110

Self-Certification:

For Profit Organization
Limited Liability Company

Commercial and government entity program

CAGE number:
32EJ6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-22
CAGE Expiration:
2029-11-22
SAM Expiration:
2025-11-20

Contact Information

POC:
OLIVIA BLACK

Immediate Level Owner

Vendor Certified:
2024-11-22
CAGE number:
7BK21
Company Name:
PENNANT HEALTHCARE, INC.

National Provider Identifier

NPI Number:
1558360024
Certification Date:
2023-05-23

Authorized Person:

Name:
SOON BURNAM
Role:
TREASURER
Phone:

Taxonomy:

Selected Taxonomy:
313M00000X - Nursing Facility/Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
5095221729

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26014E0031
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$141,917.13
Base And Exercised Options Value:
$141,917.13
Base And All Options Value:
$141,917.13
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-02-01
Description:
IGF::OT::IGF EXPRESS REPORT: NURSING HOME EXPENDITURES FEBRUARY 2014 TO SEPTEMBER 2014
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014A0012
Award Or Idv Flag:
IDV
Action Obligation:
$0
Base And Exercised Options Value:
$0
Base And All Options Value:
$1,000,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-02-01
Description:
IGF::OT::IGF - NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26014J0166
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$9,686.76
Base And Exercised Options Value:
$9,686.76
Base And All Options Value:
$9,686.76
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-09-30
Description:
IGF::OT::IGF - COMMUNITY NURSING HOME, FY13 EXPENDITURE. - EXPRESS REPORT: 09/01/2013 - 09/30/2013
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q999: MEDICAL- OTHER
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