| Entity Name: | LIFESTYLES 1 HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIFESTYLES 1 HEALTHCARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Aug 2001 (24 years ago) |
| Document Number: | L01000014843 |
| FEI/EIN Number |
260030243
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 200 Clearwater Largo Road south, Largo, FL, 33770, US |
| Address: | 11300 110TH AVE NORTH, SEMINOLE, FL, 33778 |
| ZIP code: | 33778 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932173010 | 2006-02-15 | 2008-01-30 | 11300 110TH AVE, SEMINOLE, FL, 337783711, US | 11300 110TH AVE, SEMINOLE, FL, 337783711, US | |||||||||||||||||||||||||
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| Phone | +1 727-391-9986 |
| Fax | 7274565555 |
Authorized person
| Name | MR. WILLIAM C KELSEY |
| Role | MANAGER |
| Phone | 7273919986 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 1614096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | L4B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUSSELL TERRY P | Manager | 11300 110TH AVE NORTH, SEMINOLE, FL, 33778 |
| RK1 | Agent | 200 Clearwater Largo Road south, Largo, FL, 33770 |
| Russell Nicky | Auth | 11300 110TH AVE NORTH, SEMINOLE, FL, 33778 |
| McQuilkin Michael | Auth | 11300 110TH AVE NORTH, SEMINOLE, FL, 33778 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000032997 | WRIGHTS HEALTHCARE AND REHABILIATION CENTER | ACTIVE | 2021-03-09 | 2026-12-31 | - | 11300 110TH AVE N, SEMINOLE, FL, 33778 |
| G15000018820 | WRIGHT'S HEALTHCARE & REHABILITATION CENTER | EXPIRED | 2015-02-20 | 2020-12-31 | - | 11300 110TH AVE N, SEMINOLE, FL, 33778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | RK1 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 200 Clearwater Largo Road south, Largo, FL 33770 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-30 | 11300 110TH AVE NORTH, SEMINOLE, FL 33778 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-26 | 11300 110TH AVE NORTH, SEMINOLE, FL 33778 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-07-13 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-01-06 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24825N0050 | 2024-10-01 | 2025-09-30 | 2025-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 800000.00 |
| Current Award Amount | 800000.00 |
| Potential Award Amount | 800000.00 |
Description
| Title | NURSING HOME SERVICES |
| 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 | LIFESTYLES 1 HEALTHCARE LLC |
| UEI | ZJLNV8NA9FJ7 |
| Recipient Address | UNITED STATES, 11300 110TH AVE, LARGO, PINELLAS, FLORIDA, 337783711 |
| Unique Award Key | CONT_IDV_36C24824D0003_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 4000000.00 |
Description
| Title | ESTIMATED NURSING HOME SERVICES |
| 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 | LIFESTYLES 1 HEALTHCARE LLC |
| UEI | ZJLNV8NA9FJ7 |
| Recipient Address | UNITED STATES, 11300 110TH AVE, LARGO, PINELLAS, FLORIDA, 337783711 |
| Unique Award Key | CONT_IDV_VA248BO0159_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROVIDE SERVICES FOR VA BENEFICIARIES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | LIFESTYLES 1 HEALTHCARE LLC |
| UEI | ZJLNV8NA9FJ7 |
| Legacy DUNS | 096672527 |
| Recipient Address | 11300 110TH AVE N, SEMINOLE, 337783711, UNITED STATES |
| Unique Award Key | CONT_IDV_V516P7140_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROVIDE CARE FOR VA BENEFICIARIES. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | LIFESTYLES 1 HEALTHCARE, LLC |
| UEI | ZHBCVLMQJL47 |
| Legacy DUNS | 123029972 |
| Recipient Address | 11300 110TH AVE N, SEMINOLE, 337781711, UNITED STATES |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4919017208 | 2020-04-27 | 0455 | PPP | 11300 110th Ave N,, Seminole, FL, 33778 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P0855111 | LIFESTYLES 1 HEALTHCARE LLC | WRIGHTS HEALTHCARE AND REHABILITATION | ZJLNV8NA9FJ7 | 11300 110TH AVE, LARGO, FL, 33778-3711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 623110 |
| NAICS Code's Description | Nursing Care Facilities (Skilled Nursing Facilities) |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
