| Entity Name: | STAYWELL HEALTH CARE, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 13 Feb 1992 |
| Business ALEI: | 0270625 |
| Annual report due: | 13 Feb 2025 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 80 PHOENIX AVE. SUITE 201, WATERBURY, CT, 06702, United States |
| Mailing address: | 80 PHOENIX AVENUE SUITE 201, WATERBURY, CT, United States, 06702 |
| ZIP code: | 06702 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | dthompson@staywellhealth.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LUKHN98M5WV8 | 2024-11-28 | 80 PHOENIX AVE, STE 201, WATERBURY, CT, 06702, 1418, USA | 80 PHOENIX AVE STE 201, WATERBURY, CT, 06702, 1418, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | STAYWELL HEALTH CENTER |
| URL | www.staywellhealth.org |
| Division Name | STAYWELL HEALTH CARE, INC. |
| Congressional District | 05 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-12-01 |
| Initial Registration Date | 2004-08-24 |
| Entity Start Date | 1992-02-01 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 621111, 621330, 621399, 621420, 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LULE TRACEY |
| Role | CFO |
| Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702, 1418, USA |
| Title | ALTERNATE POC |
| Name | DONALD THOMPSON |
| Role | PRESIDENT / CEO |
| Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702, 1418, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DONALD THOMPSON |
| Role | PRESIDENT / CEO |
| Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702, USA |
| Title | ALTERNATE POC |
| Name | LULE TRACEY |
| Role | CFO |
| Address | 80 PHOENIX AVENUE, SUITE 201, WATEBURY, CT, 06702, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | DONALD THOMPSON |
| Role | PRESIDENT / CEO |
| Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702, USA |
| Title | ALTERNATE POC |
| Name | LULE TRACEY |
| Role | CFO |
| Address | 80 PHOENIX AVENUE, WATERBURY, CT, 06702, 1418, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 30EZ0 | Active | Non-Manufacturer | 2004-08-25 | 2024-03-07 | 2028-12-01 | 2024-11-28 | |||||||||||||||
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| POC | DONALD THOMPSON |
| Phone | +1 203-756-8021 |
| Fax | +1 888-965-5624 |
| Address | 80 PHOENIX AVE, WATERBURY, CT, 06702 1418, 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 | Phone | Residence address | |
|---|---|---|---|---|---|
| DONALD THOMPSON | Agent | 80 PHOENIX AVE. SUITE 201, WATERBURY, CT, 06702, United States | +1 203-565-9781 | dthompson@staywellhealth.org | 132 ATWATER STREET, NEW HAVEN, CT, 06513, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| DONALD THOMPSON | Director | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702, United States | +1 203-565-9781 | dthompson@staywellhealth.org | 132 ATWATER STREET, NEW HAVEN, CT, 06513, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SANDEE SOREL-LEDUC | Officer | 287 POITRAS, BRISTOL, CT, 06010, United States | 287 POITRAS, BRISTOL, CT, 06010, United States |
| Allison Campbell | Officer | No data | 44 Bunker Hill Ave, Waterbury, CT, 06708-2244, United States |
| CAROLYN A. HIGHSMITH | Officer | 80 PHOENIX AVE. SUITE 201, WATERBURY, CT, 06702, United States | 222 JUDITH LANE, #1, WATERBURY, CT, 06704, United States |
| MARK BRIGGS | Officer | 80 PHOENIX AVE. SUITE 201, WATERBURY, CT, 06702, United States | 86 Cables Ave, Waterbury, CT, 06710-1603, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0006972 | PUBLIC CHARITY | ACTIVE | CURRENT | 2020-06-01 | 2024-06-01 | 2025-05-31 |
| POCA.0000675 | Psychiatric Outpatient Clinic | ACTIVE | CURRENT | 2018-05-03 | 2022-07-01 | 2025-06-30 |
| SA.0000517 | Substance Abuse | ACTIVE IN RENEWAL | CURRENT | 2016-09-30 | 2022-07-01 | 2024-06-30 |
| POCA.0000626 | Psychiatric Outpatient Clinic | ACTIVE | CURRENT | 2016-09-30 | 2023-07-01 | 2026-06-30 |
| SA.0000501 | Substance Abuse | ACTIVE | CURRENT | 2016-01-07 | 2023-10-01 | 2025-09-30 |
| POCA.0000606 | Psychiatric Outpatient Clinic | ACTIVE | CURRENT | 2016-01-04 | 2023-10-01 | 2026-09-30 |
| SA.0000479 | Substance Abuse | ACTIVE | CURRENT | 2014-07-23 | 2024-07-01 | 2026-06-30 |
| SA.0000474 | Substance Abuse | ACTIVE | CURRENT | 2014-06-10 | 2023-10-01 | 2025-09-30 |
| POCA.0000506 | Psychiatric Outpatient Clinic | ACTIVE | CURRENT | 2011-11-07 | 2023-10-01 | 2026-09-30 |
| OPC.0000373 | Outpatient Clinic | ACTIVE | CURRENT | 2010-01-01 | 2024-01-01 | 2026-12-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012269386 | 2024-01-18 | No data | Annual Report | Annual Report | No data |
| BF-0011391774 | 2023-02-03 | No data | Annual Report | Annual Report | No data |
| BF-0010237269 | 2022-02-21 | No data | Annual Report | Annual Report | 2022 |
| 0007265408 | 2021-03-29 | No data | Annual Report | Annual Report | 2021 |
| 0006714081 | 2020-01-07 | No data | Annual Report | Annual Report | 2020 |
| 0006321704 | 2019-01-15 | No data | Annual Report | Annual Report | 2019 |
| 0006156690 | 2018-04-09 | No data | Annual Report | Annual Report | 2018 |
| 0005931596 | 2017-09-20 | No data | Annual Report | Annual Report | 2017 |
| 0005475740 | 2016-01-28 | No data | Annual Report | Annual Report | 2016 |
| 0005265829 | 2015-01-26 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
