| Name: | Senior Care Providence, LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Foreign) |
| Status: | Active / In Good Standing |
| Date formed: | 16 Jul 2007 (17 years ago) |
| Company Number: | 2d073823-90d4-e011-a886-001ec94ffe7f |
| File Number: | 2433098-2 |
| Registered Office Address: | 161 St. Anthony Aveneue - Suite 825, St. Paul, MN 55103, USA |
| Principal Executive Office Address: | 161 St. Anthony Avenue Suite 825, St. Paul, MN 55103, USA |
| ZIP code: | 55103 |
| County: | Ramsey County |
| Place of Formation: | Delaware |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H6PZY5Y2JT53 | 2024-09-21 | 3720 23RD AVE S, MINNEAPOLIS, MN, 55407, 3010, USA | 3720 23RD AVE S MINNEAPOLIS, MN 55407, MINNEAPOLIS, MN 55407, MN, 55407, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | PROVIDENCE PLACE |
| Congressional District | 05 |
| State/Country of Incorporation | MN, USA |
| Activation Date | 2023-10-06 |
| Initial Registration Date | 2023-09-22 |
| Entity Start Date | 2007-08-08 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | YHARECIA DANIELS |
| Address | 3720 23RD AVE S, MINNEAPOLIS, MN 55407, MN, 55407, USA |
| Title | ALTERNATE POC |
| Name | NOEL LOVAS |
| Address | 3720 23RD AVE S, MINNEAPOLIS, MN, 55407, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | NOEL LOVAS |
| Address | 3720 23RD AVE S, MINNEAPOLIS, MN, 55407, USA |
| Title | ALTERNATE POC |
| Name | TRISH LIES |
| Address | 3720 23RD AVE S, MINNEAPOLIS, MN, 55407, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Amanda Johnson | Manager | 5320 West 23rd Street #130, St. Louis Park, MN 55416, USA |
| Name | Role |
|---|---|
| Susan Landwehr | Agent |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Limited Liability Company (Foreign) | 2023-04-18 |
| Revocation - Limited Liability Company (Foreign) | 2023-01-25 |
| Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) | 2018-01-01 |
| Registered Office and/or Agent - Limited Liability Company (Foreign) | 2008-10-20 |
| Original Filing - Limited Liability Company (Foreign) | 2007-07-16 |
| Limited Liability Company (Foreign) Business Name (Business Name: Senior Care Providence, LLC) | 2007-07-16 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | 36C26322D0152 | 2022-10-01 | No data | No data | |||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 13200000.00 |
Description
| Title | SENIOR CARE PROVIDENCE LLC: NURSING HOME 5 YEAR IDC CONTRACT. RATE MOD FOR FY24. 04-01-2024 TO 03-31-2025. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | SENIOR CARE PROVIDENCE LLC |
| UEI | H6PZY5Y2JT53 |
| Recipient Address | UNITED STATES, 3720 23RD AVENUE SOUTH, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554073010 |
Date of last update: 30 Sep 2024
Sources: Minnesota's Official State Website
