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  5. BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC

BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC

Branch

Company Details

Name: BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC
Jurisdiction: Colorado
Legal type: Foreign limited liability company
Status: Good Standing
Date of registration: 21 Aug 2001 (23 years ago)
Branch of: BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC, ILLINOIS (Company Number CORP_43712772)
Entity Number: 20011164054
ZIP code: 80020
County: Broomfield County
Place of Formation: ILLINOIS
Principal Address: 12975 Sheridan Blvd Broomfield CO 80020 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
J4LQHGKH9236 2025-04-11 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, 1477, USA 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, 1477, USA

Business Information
Doing Business As BROOMFIELD SKILLED NURSING & REHAB CENTER
Congressional District 07
State/Country of Incorporation CO, USA
Activation Date 2024-04-15
Initial Registration Date 2004-03-16
Entity Start Date 2001-12-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110
Product and Service Codes Q401

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SANDRA FOAT
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, 1477, USA
Title ALTERNATE POC
Name SANDY FOAT
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, USA
Government Business
Title PRIMARY POC
Name SANDRA FOAT
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, 1477, USA
Title ALTERNATE POC
Name SANDY FOAT
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, USA
Past Performance
Title PRIMARY POC
Name CAITLYN DONEGAN
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3SKG6 Active Non-Manufacturer 2004-03-17 2024-04-15 2029-04-15 2025-04-11

Contact Information
POC SANDRA FOAT
Phone +1 847-807-9625
Fax +1 303-785-5801
Address 12975 SHERIDAN BLVD, BROOMFIELD, CO, 80020 1477, 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

Agent

Name Role Address
Jonathan Dougherty Agent 12975 Sheridan Blvd Broomfield CO 80020 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241134259 File Report 2024-01-30 2024-01-30 No data Principal address changed, Change in registered agent information
20231146667 File Report 2023-02-03 2023-02-03 No data Change in registered agent information
20221412041 File Report 2022-04-25 2022-04-25 No data No data
20211400646 File Report 2021-04-26 2021-04-26 No data Change of Registered Agent / Change of Registered Agent Address
20201396113 File Report 2020-05-01 2020-05-01 No data No data
20191914234 Statement of Change Changing the Registered Agent Information 2019-11-20 2019-11-30 No data Registered agent name and/or address changed; Document lists all affected entities.
20191376181 File Report 2019-05-01 2019-05-01 No data Change of Entity Address
20181361897 File Report 2018-05-01 2018-05-01 No data No data
20171506141 File Report 2017-06-29 2017-06-29 No data No data
20161624475 Statement of Change Changing the Registered Agent Information 2016-09-16 2016-09-16 No data Registered agent address changed; Document lists all affected entities.

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C25924K0402 2024-07-01 2024-07-31 2029-01-31
Unique Award Key CONT_AWD_36C25924K0402_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 151976.48
Current Award Amount 151976.48
Potential Award Amount 151976.48

Description
Title EXPRESS REPORT: JULY 2024
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 BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0355 2024-06-01 2024-06-30 2029-01-31
Unique Award Key CONT_AWD_36C25924K0355_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 117066.47
Current Award Amount 117066.47
Potential Award Amount 117066.47

Description
Title EXPRESS REPORT: JUNE 2024
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 BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0334 2024-05-01 2024-05-31 2029-01-31
Unique Award Key CONT_AWD_36C25924K0334_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 229031.87
Current Award Amount 229031.87
Potential Award Amount 229031.87

Description
Title EXPRESS REPORT: MAY 2024
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 BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0276 2024-04-01 2024-04-30 2029-01-31
Unique Award Key CONT_AWD_36C25924K0276_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 220488.78
Current Award Amount 220488.78
Potential Award Amount 220488.78

Description
Title EXPRESS REPORT: APRIL 2024
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 BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0233 2024-03-01 2024-03-31 2029-01-31
Unique Award Key CONT_AWD_36C25924K0233_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 74868.69
Current Award Amount 74868.69
Potential Award Amount 74868.69

Description
Title EXPRESS REPORT: MARCH 2024
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
No data IDV 36C25924D0028 2024-02-01 No data No data
Unique Award Key CONT_IDV_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 25286147.00

Description
Title BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER LLC CNH SERVICES - 2/1/24 TO 1/31/29 - MEDICAID RATE 7/16/2024
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 BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0197 2024-02-01 2024-02-29 2029-01-31
Unique Award Key CONT_AWD_36C25924K0197_3600_36C25924D0028_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 270801.88
Current Award Amount 270801.88
Potential Award Amount 270801.88

Description
Title EXPRESS REPORT: FEBRUARY 2024
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0150 2024-01-01 2024-01-31 2024-01-31
Unique Award Key CONT_AWD_36C25924K0150_3600_36C25918D0241_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 257852.36
Current Award Amount 257852.36
Potential Award Amount 257852.36

Description
Title EXPRESS REPORT: JANUARY 2024
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0072 2023-12-01 2023-12-31 2024-01-31
Unique Award Key CONT_AWD_36C25924K0072_3600_36C25918D0241_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 388820.05
Current Award Amount 388820.05
Potential Award Amount 388820.05

Description
Title EXPRESS REPORT: DECEMBER 2023
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477
DELIVERY ORDER AWARD 36C25924K0057 2023-11-01 2023-11-30 2024-01-31
Unique Award Key CONT_AWD_36C25924K0057_3600_36C25918D0241_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 231285.94
Current Award Amount 231285.94
Potential Award Amount 231285.94

Description
Title EXPRESS REPORT: NOVEMBER 2023
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC
UEI J4LQHGKH9236
Recipient Address UNITED STATES, 12975 SHERIDAN BLVD, BROOMFIELD, BROOMFIELD, COLORADO, 800201477

Related by officers

Jonathan Dougherty

3G Healthcare LLC JAG Property, LLC JL LLC LJ 1115 LLC Adara Home Healthcare LLC

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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