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PEDIATRIC INTERIM CARE CENTER THE NEWBORN NURSERY

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Company Details

Legal Name: PEDIATRIC INTERIM CARE CENTER THE NEWBORN NURSERY
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 11th 1990
Expiration date: 31 May 2026
UBI Number: 601 250 502
FEIN Number: 91-1485176
Purpose: PICC IS A SHORT-TERM FACILITY DRUG EXPOSED AND MEDICALLY FRAGILE INFANTS.
ZIP code: 98032
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 328 4TH AVE S, KENT, WA, 98032-5836, UNITED STATES

Contact Details

E-Mail: NURSERY@PICC.NET
Phone Number: +1 253-852-5253

Nature of Business

A SHORT-TERM FACILITY TO DRUG EXPOSED AND MEDICALLY FRAGILE INFANTS.

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Registered Agent Information

Name Role Address
BARBARA DRENNEN Registered Agent 328 4TH AVE S, KENT, WA, 98032-5836, UNITED STATES

Key Officers & Management

Name Role Address
KENNETH BUSSEY Governing Person -
LYNN NORMAN Governing Person -
MONICA OCHS Governing Person -
ERIC DREVER Governing Person -
BARBARA DRENNEN EXECUTIVE DIRECTOR 328 4TH AVE S, KENT, WA, 98032-5836, UNITED STATES
ERIC DREVER OFFICER 328 4TH AVE S, KENT, WA, 98032-5836, UNITED STATES

Unique Entity ID

Unique Entity ID:
CHP3PK5CNS83
CAGE Code:
6XQ87
UEI Expiration Date:
2025-10-03

Business Information

URL:
http://www.picc.net/
Activation Date:
2024-10-07
Initial Registration Date:
2013-06-24

Commercial and government entity program

CAGE number:
6XQ87
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-07
SAM Expiration:
2025-10-03
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
ELAINE D. PURCHASE
Corporate URL:
http://www.picc.net/

National Provider Identifier

NPI Number:
1639296197
Link:
View on NPI website

Authorized Person:

Name:
MRS. BARBARA DRENNEN
Role:
EXECUTIVE DIRECTOR
Phone:
2538525253

Taxonomy:

Selected Taxonomy:
3140N1450X - Pediatric Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 253-852-5253
Fax:
2538525728

Form 5500 Series

Employer Identification Number (EIN):
911485176
Plan Year:
2023
Number Of Participants:
21
Plan Name:
401(K)
Sponsor's telephone number:
2538525253
File:
View File
Plan Year:
2022
Number Of Participants:
23
Plan Name:
401(K)
Sponsor's telephone number:
2538525253
File:
View File
Plan Year:
2021
Number Of Participants:
27
Plan Name:
401(K)
Sponsor's telephone number:
2538525253
File:
View File
Plan Year:
2020
Number Of Participants:
43
Plan Name:
401(K)
Sponsor's telephone number:
2538525253
File:
View File
Plan Year:
2019
Number Of Participants:
42
Plan Name:
401(K)
Sponsor's telephone number:
2538525253
File:
View File

Charity/Fundraiser/Trust

Registration Number:
1103642
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2026-05-31

Financial History

Fiscal Begin Date:
2023-07-01
Fiscal End Date:
2024-06-30
Begin Assets:
$10,337,835.00
Revenue:
$1,553,739.00
Program Services:
$993,512.00
Expenses:
$1,241,890.00
End Assets:
$3,396,110.00
% To Program Services:
80%
Fiscal Begin Date:
2022-07-01
Fiscal End Date:
2023-06-30
Begin Assets:
$8,727,237.00
Revenue:
$1,610,598.00
Program Services:
$1,279,951.00
Expenses:
$1,599,938.00
End Assets:
$10,337,835.00
% To Program Services:
80%
Fiscal Begin Date:
2021-07-01
Fiscal End Date:
2022-06-30
Begin Assets:
$6,901,630.00
Revenue:
$1,825,607.00
Program Services:
$1,365,329.00
Expenses:
$1,575,535.00
End Assets:
$8,727,237.00
% To Program Services:
87%
Fiscal Begin Date:
2020-07-01
Fiscal End Date:
2021-06-30
Begin Assets:
$5,283,720.00
Revenue:
$1,617,910.00
Program Services:
$1,439,972.00
Expenses:
$1,630,172.00
End Assets:
$6,901,630.00
% To Program Services:
88%
Fiscal Begin Date:
2019-07-01
Fiscal End Date:
2020-06-30
Begin Assets:
$3,665,810.00
Revenue:
$1,617,910.00
Program Services:
$1,439,972.00
Expenses:
$1,630,172.00
End Assets:
$5,283,720.00
% To Program Services:
88%
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