| Entity Name: | SHADY KNOLL HEALTH CENTER, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 10 Jan 1991 |
| Business ALEI: | 0256372 |
| Annual report due: | 10 Jan 2025 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | C/O ATHENA HEALTH CARE ASSOCIATES, INC. 135 SOUTH ROAD, FARMINGTON, CT, 06032, United States |
| Mailing address: | C/O ATHENA HEALTH CARE ASSOCIATES, INC. 135 SOUTH ROAD, FARMINGTON, CT, United States, 06032 |
| ZIP code: | 06032 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 10000 |
| E-Mail: | service@murthalaw.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| GLC6RKX2Y1F5 | 2024-12-11 | 41 SKOKORAT ST, SEYMOUR, CT, 06483, 3826, USA | 41 SKOKORAT ST, SEYMOUR, CT, 06483, 3826, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 03 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-12-14 |
| Initial Registration Date | 2015-06-08 |
| Entity Start Date | 1991-01-09 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL MOSIER |
| Role | CFO |
| Address | 135 SOUTH RD, FARMINGTON, CT, 06032, 2556, USA |
| Title | ALTERNATE POC |
| Name | MICHAEL MOSIER |
| Role | CFO |
| Address | 135 SOUTH RD, FARMINGTON, CT, 06032, 2556, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL MOSIER |
| Role | CFO |
| Address | 135 SOUTH RD, FARMINGTON, CT, 06032, 2556, USA |
| Title | ALTERNATE POC |
| Name | MICHAEL MOSIER |
| Role | CFO |
| Address | 135 SOUTH RD, FARMINGTON, CT, 06032, 2556, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL MOSIER |
| Role | CFO |
| Address | 135 SOUTH RD, FARMINGTON, CT, 06032, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7DXK4 | Active | Non-Manufacturer | 2015-06-10 | 2024-03-07 | 2028-12-14 | 2024-12-11 | |||||||||||||||
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| POC | MICHAEL MOSIER |
| Phone | +1 860-751-3900 |
| Fax | +1 860-751-3905 |
| Address | 41 SKOKORAT ST, SEYMOUR, CT, 06483 3826, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL E. MOSIER | Officer | C/O ATHENA HEALTH CARE ASSOCIATES, 135 SOUTH ROAD, FARMINGTON, CT, 06032, United States | 27 PARKER ROAD, MERIDEN, CT, 06450, United States |
| LAWRENCE G. SANTILLI | Officer | C/O ATHENA HEALTH CARE ASSOCIATES, INC., 135 SOUTH ROAD, FARMINGTON, CT, 06032, United States | 31 BRUNSWICK AVENUE, WEST HARTFORD, CT, 06107, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL E. MOSIER | Director | C/O ATHENA HEALTH CARE ASSOCIATES, 135 SOUTH ROAD, FARMINGTON, CT, 06032, United States | 27 PARKER ROAD, MERIDEN, CT, 06450, United States |
| LAWRENCE G. SANTILLI | Director | C/O ATHENA HEALTH CARE ASSOCIATES, INC., 135 SOUTH ROAD, FARMINGTON, CT, 06032, United States | 31 BRUNSWICK AVENUE, WEST HARTFORD, CT, 06107, United States |
| Name | Role |
|---|---|
| MCR&P SERVICE CORPORATION | Agent |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| VMA.0000647 | VENDING MACHINE OPERATOR | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | No data | 1996-07-01 | 1997-06-30 |
| CCNH.002107C | Chronic & Convalescent Nursing Home | ACTIVE | CURRENT | 2009-04-01 | 2023-04-01 | 2025-03-31 |
| NATP.000060-CCNH | Nurse Aide Training Program-Nursing Home | INACTIVE | LAPSED DUE TO NON-RENEWAL | 1993-05-07 | 1993-05-07 | 2012-10-16 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012266429 | 2024-07-17 | No data | Annual Report | Annual Report | No data |
| BF-0011390661 | 2024-07-17 | No data | Annual Report | Annual Report | No data |
| BF-0010172094 | 2022-06-06 | No data | Annual Report | Annual Report | 2022 |
| 0007270895 | 2021-03-30 | No data | Annual Report | Annual Report | 2021 |
| 0007270890 | 2021-03-30 | No data | Annual Report | Annual Report | 2020 |
| 0006638530 | 2019-09-06 | No data | Annual Report | Annual Report | 2019 |
| 0006147076 | 2018-03-30 | No data | Annual Report | Annual Report | 2018 |
| 0005842919 | 2017-05-12 | No data | Annual Report | Annual Report | 2017 |
| 0005509572 | 2016-03-09 | No data | Annual Report | Annual Report | 2016 |
| 0005269010 | 2015-01-29 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
