Entity Name: | THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC. |
Jurisdiction: | Connecticut |
Legal type: | Non-Stock |
Citizenship: | Domestic |
Status: | Active |
Date Formed: | 14 Aug 1967 (Companies founded in August 1967) |
Business ALEI: | 0062194 |
Annual report due: | 14 Aug 2025 |
NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
Business address: | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States |
Mailing address: | 4200 PARK AVENUE, BRIDGEPORT, CT, United States, 06604 |
ZIP code: | 06604 (Companies in Fairfield, 06604) |
County: | Fairfield |
Place of Formation: | CONNECTICUT |
E-Mail: | epeterson@mozaicsl.org |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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XPNJMPKUULL3 | 2025-02-12 | 4200 PARK AVE, BRIDGEPORT, CT, 06604, 1049, USA | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, 1049, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Congressional District | 04 |
State/Country of Incorporation | CT, USA |
Activation Date | 2024-02-15 |
Initial Registration Date | 2008-03-11 |
Entity Start Date | 1973-10-15 |
Fiscal Year End Close Date | Sep 30 |
Service Classifications
NAICS Codes | 623110 |
Product and Service Codes | Q402 |
Points of Contacts
Electronic Business | |
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Title | PRIMARY POC |
Name | EVANGELYN PETERSON |
Address | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, USA |
Title | ALTERNATE POC |
Name | LAURA SNOW |
Address | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, USA |
Government Business | |
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Title | PRIMARY POC |
Name | LAURA SNOW-ROBINSON |
Address | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, USA |
Title | ALTERNATE POC |
Name | LAURA SNOW-ROBINSON |
Address | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, USA |
Past Performance | Information not Available |
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CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
50NH0 | Active | Non-Manufacturer | 2008-03-12 | 2024-03-08 | 2029-02-15 | 2025-02-12 | |||||||||||||||
|
POC | LAURA SNOW-ROBINSON |
Phone | +1 203-365-6403 |
Fax | +1 203-374-4851 |
Address | 4200 PARK AVE, BRIDGEPORT, CT, 06604 1049, UNITED STATES |
Ownership of Offeror Information
Highest Level Owner | Information not Available |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
549300WXCETU0B7T4152 | 0062194 | US-CT | GENERAL | ACTIVE | 1967-08-14 | |||||||||||||||||||
|
Legal | C/O ANDREW H. BANOFF, 4200 PARK AVENUE, BRIDGEPORT, US-CT, US, 06604 |
Headquarters | C/O ANDREW H. BANOFF, 4200 PARK AVENUE, BRIDGEPORT, US-CT, US, 06604 |
Registration details
Registration Date | 2014-04-29 |
Last Update | 2023-08-04 |
Status | LAPSED |
Next Renewal | 2023-06-01 |
LEI Issuer | 5493001KJTIIGC8Y1R12 |
Corroboration Level | FULLY_CORROBORATED |
Data Validated As | 0062194 |
Name | Role | Business address | Phone | Residence address | |
---|---|---|---|---|---|
ANDREW H. BANOFF | Agent | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States | +1 203-365-6400 | epeterson@mozaicsl.org | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States |
Name | Role | Business address | Residence address |
---|---|---|---|
ANDREW H.BANOFF | Officer | 4200 PARK AVE, BRIDGEPORT, CT, 06604, United States | 4200 PARK AVE, BRIDGEPORT, CT, 06604, United States |
Emil Meshberg | Officer | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States | 4200 PARK AVENUE, BRIDGEPORT, CT, 06604, United States |
JON AUGUST | Officer | 4200 PARK AVE, BRIDGEPORT, CT, 06604, United States | 4200 PARK AVE, BRIDGEPORT, CT, 06604, United States |
Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
---|---|---|---|---|---|---|
LTA.0004355 | TEMPORARY LIQUOR | INACTIVE | No data | No data | 2022-10-13 | 2022-10-13 |
LCO.0010730 | TEMPORARY CHARITABLE ORGANIZATION LIQUOR | INACTIVE | No data | No data | 2023-05-01 | 2023-05-01 |
LTN.0000238 | TEMPORARY NONCOMMERCIAL LIQUOR PERMIT | INACTIVE | No data | No data | 2023-10-26 | 2023-10-26 |
LTN.0001395 | TEMPORARY NONCOMMERCIAL LIQUOR PERMIT | ACTIVE | CURRENT | No data | 2024-10-30 | 2024-10-30 |
CCNH.000923C | Chronic & Convalescent Nursing Home | CLOSED | CLOSED | 2008-04-01 | 2016-04-01 | 2018-03-31 |
Type | Old value | New value | Date of change |
---|---|---|---|
Name change | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INCORPORATED THE | THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC. | 2014-02-24 |
Name change | THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC. | THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INC. | 2014-02-21 |
Name change | FAIRFIELD COUNTY HOME FOR THE ELDERLY, INCORPORATED THE | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY, INCORPORATED THE | 1970-01-08 |
Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
---|---|---|---|---|---|
BF-0012043691 | 2024-07-15 | No data | Annual Report | Annual Report | No data |
BF-0011077615 | 2023-07-25 | No data | Annual Report | Annual Report | No data |
BF-0010252211 | 2022-08-03 | No data | Annual Report | Annual Report | 2022 |
BF-0009810339 | 2021-09-30 | No data | Annual Report | Annual Report | No data |
0007006368 | 2020-10-21 | No data | Annual Report | Annual Report | 2020 |
0006593155 | 2019-07-09 | No data | Annual Report | Annual Report | 2019 |
0006221880 | 2018-07-25 | No data | Annual Report | Annual Report | 2018 |
0005930870 | 2017-09-20 | No data | Annual Report | Annual Report | 2017 |
0005650405 | 2016-09-13 | No data | Change of Business Address | Business Address Change | No data |
0005637329 | 2016-08-25 | No data | Change of Agent Address | Agent Address Change | No data |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No data | IDV | 36C24124D0052 | 2024-01-15 | No data | No data | |||||||||||||||||||||||||
|
Obligated Amount | 0.00 |
Potential Award Amount | 1840847.36 |
Description
Title | NURSING HOME SERVICES |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC |
UEI | XPNJMPKUULL3 |
Recipient Address | UNITED STATES, 4200 PARK AVENUE, BRIDGEPORT, FAIRFIELD, CONNECTICUT, 066041049 |
Unique Award Key | CONT_AWD_36C24124K0152_3600_36C24124D0052_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 228460.35 |
Current Award Amount | 228460.35 |
Potential Award Amount | 228460.35 |
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 | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC |
UEI | XPNJMPKUULL3 |
Recipient Address | UNITED STATES, 4200 PARK AVENUE, BRIDGEPORT, GREATER BRIDGEPORT, CONNECTICUT, 066041049 |
Unique Award Key | CONT_AWD_36C24124K0061_3600_36C24120G0028_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 47905.00 |
Current Award Amount | 47905.00 |
Potential Award Amount | 47905.00 |
Description
Title | EXPRESS REPORT: CNH |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC |
UEI | XPNJMPKUULL3 |
Recipient Address | UNITED STATES, 4200 PARK AVENUE, BRIDGEPORT, FAIRFIELD, CONNECTICUT, 066041049 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website