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COOK WILLOW HEALTH & REHABILITATION CENTER, INC.

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Company Details

Entity Name: COOK WILLOW HEALTH & REHABILITATION CENTER, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Oct 1974
Business ALEI: 0011131
Annual report due: 03 Oct 2025
Business address: 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States
Mailing address: SUSAN A. MACDONALD 81 HILLSIDE AVE, PLYMOUTH, CT, United States, 06782
ZIP code: 06782
County: Litchfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: smacdonald@cookwillow.com

Industry & Business Activity

NAICS

623110 Nursing Care Facilities (Skilled Nursing Facilities)

This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau

Officer

Name Role Business address Residence address
WALTER T. MACDONALD Officer 81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States
JENNESA D LECLAIR Officer 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 210 WEST HILL RD, THOMASTON, CT, 06787, United States
SUSAN A. MACDONALD Officer 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

Director

Name Role Business address Residence address
SUSAN A. MACDONALD Director 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SUSAN A MACDONALD Agent 81 HILLSIDE AVE, PLYMOUTH, CT, 06782, United States 105 CARTER ROAD, P.O. BOX 0275, PLYMOUTH, CT, 06782, United States +1 860-283-5209 smacdonald@cookwillow.com 105 CARTER ROAD, PLYMOUTH, CT, 06782, United States

National Provider Identifier

NPI Number:
1205979457

Authorized Person:

Name:
MS. SUSAN A. MACDONALD
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
8602836667

Form 5500 Series

Employer Identification Number (EIN):
060914538
Plan Year:
2023
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
65
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
65
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
63
Sponsors Telephone Number:

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CCNH.000932C Chronic & Convalescent Nursing Home ACTIVE CURRENT 2009-04-01 2023-04-01 2025-03-31
NATP.000021-POS Nurse Aide Training Program-Private Occ School ACTIVE CURRENT 1995-10-10 1995-10-10 2024-08-08

History

Type Old value New value Date of change
Name change COOK-WILLOW CONVALESCENT HOSPITAL, INC. COOK WILLOW HEALTH & REHABILITATION CENTER, INC. 2017-04-26

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012314283 2024-10-27 - Annual Report Annual Report -
BF-0011080360 2023-09-19 - Annual Report Annual Report -
BF-0010690700 2023-03-23 - Annual Report Annual Report -
BF-0009819809 2022-01-26 - Annual Report Annual Report -
0007028672 2020-11-30 - Annual Report Annual Report 2020

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
678727.00
Total Face Value Of Loan:
678727.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2003-06-16
Type:
Planned
Address:
81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
1998-06-09
Type:
Planned
Address:
81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
1998-06-01
Type:
Planned
Address:
81 HILLSIDE AVENUE, PLYMOUTH, CT, 06782
Safety Health:
Safety
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
110
Initial Approval Amount:
$678,727
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$678,727
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$686,685.77
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $678,727

Debts and Liens

Subsequent Filing No:
0005273143
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2025-03-04
Lapse Date:
2030-08-20
Subsequent Filing No:
0005049041
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2022-02-28
Lapse Date:
2027-02-09
Subsequent Filing No:
0005045597
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2022-02-09
Lapse Date:
2027-02-09
Subsequent Filing No:
0003359654
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2020-03-09
Lapse Date:
2030-08-20
Subsequent Filing No:
0003042849
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2015-03-09
Lapse Date:
2030-08-20
Subsequent Filing No:
0002803347
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2011-03-16
Lapse Date:
2030-08-20
Subsequent Filing No:
0002769565
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2010-08-20
Lapse Date:
2030-08-20
Subsequent Filing No:
0002769573
Filing Type:
AMENDMENT
Status:
Active
Type:
OFS
Filing Date:
2010-08-20
Lapse Date:
2030-08-20

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Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information