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RICHMOND BEACH REHAB, LLC

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Company Details

Legal Name: RICHMOND BEACH REHAB, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: September 10th 2014
Expiration date: 30 Sep 2025
UBI Number: 602 293 030
ZIP code: 98177
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 19235 15TH AVENUE SW, SEATTLE, WA, 98177, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 25115 SW PARKWAY AVE, SUITE B, WILSONVILLE, OR, 97070-8891, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $891,176

Contact Details

E-Mail: CCMARQUEZ@AVAMERE.COM

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 MILLER JR Governing Person

Unique Entity ID

CAGE Code:
58DG6
UEI Expiration Date:
2020-07-08

Business Information

Activation Date:
2019-05-10
Initial Registration Date:
2008-10-24

Commercial and government entity program

CAGE number:
58DG6
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-05-11
CAGE Expiration:
2024-05-10

Contact Information

POC:
C OLSON

National Provider Identifier

NPI Number:
1710218656

Authorized Person:

Name:
KELSEY J ADAMS
Role:
SPEECH LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

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

Contacts:

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26016E9950
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$13,230.97
Base And Exercised Options Value:
$13,230.97
Base And All Options Value:
$13,230.97
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-10-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES 10-1-15 TO 9-30-2016
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26015E0004
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
$57,802.6
Base And Exercised Options Value:
$57,802.6
Base And All Options Value:
$57,802.6
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-02-01
Description:
IGF::OT::IGF - EXPRESS REPORTING NURSING HOME -2/1/15 - 8/31/15
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA26015E9900
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
$66,775.44
Base And Exercised Options Value:
$66,775.44
Base And All Options Value:
$66,775.44
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-02-01
Description:
IGF::OT::IGF, EXPRESS REPORT: NURSING HOME EXPENDITURES 2-1-15 TO 9-30-15
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

OSHA's Inspections within Industry

Inspection Summary

Date:
2009-03-25
Type:
Planned
Address:
19235 15TH AVE NW, SHORELINE, WA, 98177
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
124
Initial Approval Amount:
$1,251,300
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,251,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,267,206.94
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $1,251,300
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