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  5. CL OPERATING LLC

CL OPERATING LLC

Company Details

Name: CL OPERATING LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 15 May 2018 (7 years ago)
Identification Number: 001684396
ZIP code: 02859
County: Providence County
Principal Address: 999 SOUTH MAIN STREET, PASCOAG, RI, 02859, USA
Purpose: SKILLED NURSING FACILITY
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Fictitious names: CRYSTAL LAKE REHABILITATION AND CARE CENTER (trading name, 2018-07-10 - )
Historical names: PINE GROVE OPERATING LLC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518436856 2018-11-15 2018-11-15 14C 53RD ST STE 224N, BROOKLYN, NY, 112322644, US 999 S MAIN ST, PASCOAG, RI, 028593522, US

Contacts
Phone +1 877-567-0402

Authorized person
Name SAM STERN
Role CFO
Phone 8775670402

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes
Taxonomy Code 385H00000X - Respite Care
Is Primary No

Agent

Name Role Address
REGISTERED AGENTS INC. Agent 47 WOOD AVENUE SUITE 2, BARRINGTON, RI, 02806, USA

Events

Type Date Old Value New Value
Name Change 2018-07-06 PINE GROVE OPERATING LLC CL OPERATING LLC

Filings

Number Name File Date
202460768230 Annual Report 2024-10-23
202460768320 Annual Report 2024-10-23
202460768410 Annual Report 2024-10-23
202460768690 Annual Report 2024-10-23
202460768050 Reinstatement 2024-10-23
202210371680 Revocation Certificate For Failure to File the Annual Report for the Year 2022-02-14
202106708060 Revocation Notice For Failure to File An Annual Report 2021-12-03
202195954380 Annual Report 2021-04-23
202194547240 Revocation Notice For Failure to File An Annual Report 2021-03-16
202047559390 Annual Report 2020-08-03

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24124K0182 2023-12-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24124K0182_3600_36C24123D0083_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 963764.55
Current Award Amount 963764.55
Potential Award Amount 963764.55

Description
Title EXPRESS REPORT: CNH
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details
Recipient CL OPERATING LLC
UEI ML7BZN1LW4L6
Recipient Address UNITED STATES, 999 S MAIN ST, PASCOAG, PROVIDENCE, RHODE ISLAND, 028593522
DELIVERY ORDER AWARD 36C24124K0215 2023-12-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24124K0215_3600_36C24123D0083_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 2532.42
Current Award Amount 2532.42
Potential Award Amount 2532.42

Description
Title EXPRESS REPORT: CNH
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details
Recipient CL OPERATING LLC
UEI ML7BZN1LW4L6
Recipient Address UNITED STATES, 999 S MAIN ST, PASCOAG, PROVIDENCE, RHODE ISLAND, 028593522
DELIVERY ORDER AWARD 36C24124K0164 2023-12-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24124K0164_3600_36C24123D0083_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 26311.66
Current Award Amount 26311.66
Potential Award Amount 26311.66

Description
Title EXPRESS REPORT - NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details
Recipient CL OPERATING LLC
UEI ML7BZN1LW4L6
Recipient Address UNITED STATES, 999 S MAIN ST, PASCOAG, PROVIDENCE, RHODE ISLAND, 028593522
DELIVERY ORDER AWARD 36C24124K0193 2023-10-01 2023-11-30 2023-11-30
Unique Award Key CONT_AWD_36C24124K0193_3600_36C24121G0005_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 8701.29
Current Award Amount 8701.29
Potential Award Amount 8701.29

Description
Title EXPRESS REPORT: CNH
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details
Recipient CL OPERATING LLC
UEI ML7BZN1LW4L6
Recipient Address UNITED STATES, 999 S MAIN ST, PASCOAG, PROVIDENCE, RHODE ISLAND, 028593522

Related by officers

REGISTERED AGENTS INC.

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Related by address

No related companies by address

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State

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