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SILVER CREEK MANOR SNF LLC

Company Details

Name: SILVER CREEK MANOR SNF LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 29 Oct 2020 (5 years ago)
Identification Number: 001714573
Purpose: NURSING HOME
Fictitious names: SILVER CREEK REHAB AND HEALTHCARE CENTER (trading name, 2021-02-01 - )
Principal Address: Google Maps Logo 1135 EAST VETERANS HIGHWAY BUILDING 3 SUITE 1, JACKSON, NJ, 08527, US

Contact Details

Phone +1 401-253-3000

Industry & Business Activity

NAICS

623110 Nursing Care Facilities (Skilled Nursing Facilities)

This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau

Agent

Name Role Address
NUCO FILINGS CORP. Agent 222 JEFFERSON BLVD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

Name Role Address
HAL NOVAK MANAGER 29 CABERNET DR LAKEWOOD, NJ 08701 US

National Provider Identifier

NPI Number:
1972198661
Certification Date:
2021-03-04

Authorized Person:

Name:
MR. AHARON STERN
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Legal Entity Identifier

LEI Number:
9845008484F1VH10AB15

Registration Details:

Initial Registration Date:
2021-01-26
Next Renewal Date:
2025-01-26
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Licenses

License No License Type Status Date Issued Expiration Date
FSV34697 Seats - 50 or More Active 2021-05-21 2026-04-30
LTC00817 Nursing Facility Active 2021-04-01 2025-12-31

Filings

Number Name File Date
202458577620 Statement of Change of Registered/Resident Agent 2024-08-05
202457885690 Annual Report 2024-07-12
202456127430 Revocation Notice For Failure to File An Annual Report 2024-06-18
202338649180 Annual Report 2023-06-23
202336955670 Revocation Notice For Failure to File An Annual Report 2023-06-16

Inspections

Inspection Type Performed By Inspection Date Inspection Purpose
Food Establishment Inspection Rhode Island Department of Health, Center for Food Protection 2024-10-23 Routine

Expenditures

Agency Date Program Subprogram Amount
Department of Administration 2024-07-12 CENTRAL MANAGEMENT DIRECTOR'S OFFICE 161003.0
Department of Administration 2022-12-29 CENTRAL MANAGEMENT DIRECTOR'S OFFICE 417766.72

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24122K0332
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
13594.99
Base And Exercised Options Value:
13594.99
Base And All Options Value:
13594.99
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-10-01
Description:
EXPRESS REPORT: CNH
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24122K0331
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
45435.37
Base And Exercised Options Value:
45435.37
Base And All Options Value:
45435.37
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-10-01
Description:
EXPRESS REPORT: CNH
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24121K0406
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
8506.13
Base And Exercised Options Value:
8506.13
Base And All Options Value:
8506.13
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-08-26
Description:
EXPRESS REPORT: CNH DATA CUBE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Date of last update: 14 May 2025

Sources: Rhode Island Department of State