| Entity Name: | SSC MYSTIC OPERATING COMPANY LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 06 Aug 2004 (Companies founded in August 2004) |
| Business ALEI: | 0792801 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 623110 - Nursing Care Facilities (Skilled Nursing Facilities) |
| Business address: | 300 Colonial Center Parkway, Roswell, GA, 30076, United States |
| Mailing address: | 300 Colonial Center Parkway, Suite 100S, Roswell, GA, United States, 30076 |
| Mailing jurisdiction address: | 1209 ORANGE STREET, WILMINGTON, DE, 19801, United States |
| Place of Formation: | DELAWARE |
| E-Mail: | CLS-CTARMSEVIDENCE@wolterskluwer.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UDJMMYJNG4B9 | 2024-10-22 | 44 MARITIME DR, MYSTIC, CT, 06355, 1958, USA | 44 MARTIME DR, MYSTIC, CT, 06355, 1958, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | PENDLETON HEALTH & REHABILITATION CENTER |
| Congressional District | 02 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-10-25 |
| Initial Registration Date | 2009-04-13 |
| Entity Start Date | 2005-06-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KELLE C SANTORO |
| Role | SR DIRECTOR AR |
| Address | 5300 W SAM HOUSTON PARKWAY N, SUITE 100, HOUSTON, TX, 77041, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KELLE C SANTORO |
| Role | SR DIRECTOR AR |
| Address | 5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX, 77041, 5162, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5EFB2 | Active | Non-Manufacturer | 2009-04-14 | 2024-08-28 | 2029-08-28 | 2025-08-23 | |||||||||||||||||||||||
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| POC | KELLE C. SANTORO |
| Phone | +1 832-467-5794 |
| Fax | +1 832-467-8500 |
| Address | 44 MARITIME DR, MYSTIC, CT, 06355 1958, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2024-08-28 |
| CAGE number | 99P71 |
| Company Name | SAVASENIORCARE ADMINISTRATIVE AND CONSULTING, LLC |
| CAGE Last Updated | 2023-06-20 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| WYNN SIMS | Officer | 300 Colonial Center Parkway, Suite 100S, Roswell, GA, 30076, United States | 8601 DUNWOODY PLACE, SUITE 775, SANDY SPRINGS, GA, 30350, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012318235 | 2024-02-01 | No data | Annual Report | Annual Report | No data |
| BF-0011161871 | 2023-02-20 | No data | Annual Report | Annual Report | No data |
| BF-0010363375 | 2022-04-01 | No data | Annual Report | Annual Report | 2022 |
| 0007113810 | 2021-02-03 | No data | Annual Report | Annual Report | 2021 |
| 0006789171 | 2020-02-26 | No data | Annual Report | Annual Report | 2020 |
| 0006303245 | 2019-01-02 | No data | Annual Report | Annual Report | 2019 |
| 0006095840 | 2018-02-26 | No data | Annual Report | Annual Report | 2018 |
| 0005890960 | 2017-07-18 | No data | Annual Report | Annual Report | 2017 |
| 0005617648 | 2016-08-01 | No data | Annual Report | Annual Report | 2016 |
| 0005375268 | 2015-08-03 | No data | Annual Report | Annual Report | 2015 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24124K0214 | 2023-12-01 | 2024-09-30 | 2024-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 9356.70 |
| Current Award Amount | 9356.70 |
| Potential Award Amount | 9356.70 |
Description
| Title | EXPRESS REPORT: CNH |
| 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 | SSC MYSTIC OPERATING COMPANY LLC |
| UEI | UDJMMYJNG4B9 |
| Recipient Address | UNITED STATES, 44 MARITIME DR, MYSTIC, SOUTHEASTERN CONNECTICUT, CONNECTICUT, 063551958 |
| Unique Award Key | CONT_IDV_36C24120G0040_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 0.00 |
Description
| Title | PENDLETON - NOVATION AGREEMENT |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | SSC MYSTIC OPERATING COMPANY LLC |
| UEI | UDJMMYJNG4B9 |
| Recipient Address | UNITED STATES, 44 MARITIME DR, MYSTIC, NEW LONDON, CONNECTICUT, 063551958 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
