| Entity Name: | BISHOP WICKE HEALTH AND REHABILITATION CENTER, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 29 Jan 1965 |
| Business ALEI: | 0087082 |
| Annual report due: | 29 Jan 2025 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States |
| Mailing address: | 580 LONG HILL AVENUE, SHELTON, CT, United States, 06484 |
| ZIP code: | 06484 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | vdompierre@umh.org |
| Name | Role |
|---|---|
| MCR&P SERVICE CORPORATION | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Debra Samorajczyk | Director | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 57 Cloverdale Ave, Shelton, CT, 06484-2538, United States |
| DAVID LAWLOR | Director | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 239 HARRISON ROAD, CHESHIRE, CT, 06410, United States |
| ZVONIMIR JUKIC | Director | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 20 AVALON DRIVE, MILFORD, CT, 06406, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DAVID LAWLOR | Officer | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 239 HARRISON ROAD, CHESHIRE, CT, 06410, United States |
| ZVONIMIR JUKIC | Officer | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 20 AVALON DRIVE, MILFORD, CT, 06406, United States |
| VICTORIA DOMPIERRE | Officer | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States | 580 LONG HILL AVENUE, SHELTON, CT, 06484, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CCNH.000812C | Chronic & Convalescent Nursing Home | ACTIVE | CURRENT | 2010-01-01 | 2024-01-01 | 2025-12-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | WICKE HEALTH CENTER, INC. | BISHOP WICKE HEALTH AND REHABILITATION CENTER, INC. | 1999-03-16 |
| Name change | UNITED METHODIST CONVALESCENT HOMES OF CONNECTICUT, INC. THE | WICKE HEALTH CENTER, INC. | 1989-04-12 |
| Name change | METHODIST CONVALESCENT HOMES OF CONNECTICUT, INC. THE | UNITED METHODIST CONVALESCENT HOMES OF CONNECTICUT, INC. THE | 1977-04-20 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012044116 | 2024-01-11 | No data | Annual Report | Annual Report | No data |
| BF-0011076619 | 2023-01-17 | No data | Annual Report | Annual Report | No data |
| BF-0010174613 | 2022-02-28 | No data | Annual Report | Annual Report | 2022 |
| 0007260127 | 2021-03-25 | No data | Annual Report | Annual Report | 2021 |
| 0006730759 | 2020-01-23 | No data | Annual Report | Annual Report | 2020 |
| 0006294802 | 2018-12-18 | No data | Annual Report | Annual Report | 2019 |
| 0006236279 | 2018-08-22 | No data | Annual Report | Annual Report | 2018 |
| 0005746426 | 2017-01-20 | No data | Annual Report | Annual Report | 2017 |
| 0005511102 | 2016-03-11 | No data | Annual Report | Annual Report | 2016 |
| 0005254853 | 2015-01-13 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
