| Entity Name: | CARRINGTON PLACE OF ST PETE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CARRINGTON PLACE OF ST PETE, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 Jun 2005 (20 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L05000057932 |
| FEI/EIN Number |
203009069
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 24641 US HWY 19 N, CLEARWATER, FL, 33763, US |
| Mail Address: | 24641 US HWY 19 N, CLEARWATER, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013963842 | 2006-05-25 | 2012-11-07 | 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, FL, 337163816, US | 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, FL, 337163816, US | |||||||||||||||||||||||||
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| Phone | +1 727-577-3800 |
| Fax | 7275778969 |
Authorized person
| Name | MS. LYNDA S HEBBELN |
| Role | CFO |
| Phone | 7277233000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10760961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031552400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ATKINS BEN | Managing Member | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| MORRISON MARYA | Managing Member | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| ATKINS BEN | Agent | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | - |
| CHANGE OF MAILING ADDRESS | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-02-14 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-21 |
| ANNUAL REPORT | 2007-02-05 |
| ANNUAL REPORT | 2006-01-11 |
| Florida Limited Liability | 2005-06-13 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0003 | 2009-09-01 | - | - | |||||||||||||||||||||
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| Title | PROVIDE CARE TO VA BENEFICIARIES. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | CARRINGTON PLACE OF ST PETE LLC |
| UEI | DF3JGT5WJEZ3 |
| Legacy DUNS | 796688468 |
| Recipient Address | 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, 337163816, UNITED STATES |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 339667552 | 0420600 | 2014-04-03 | 10501 ROOSEVELT BLVD. NORTH, SAINT PETERSBURG, FL, 33716 | |||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
