| Entity Name: | CPLACE OF ST PETE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Apr 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 16 Jun 2011 (14 years ago) |
| Document Number: | L11000041157 |
| FEI/EIN Number | 45-1582350 |
| Mail Address: | 24641 US HIGHWAY 19 N, CLEARWATER, FL 33763 |
| Address: | 10501 ROOSEVELT BLVD N, ST PETERSBURG, FL 33716 |
| ZIP code: | 33716 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114217114 | 2011-04-11 | 2011-04-11 | 10501 ROOSEVELT BLVD N, ST PETERSBURG, FL, 337163816, US | 10501 ROOSEVELT BLVD N, ST PETERSBURG, FL, 337163816, US | |||||||||||||||||||||||
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| Phone | +1 727-577-3800 |
| Fax | 7275785255 |
Authorized person
| Name | MS. LYNDA S. HEBBELN |
| Role | CFO |
| Phone | 7277233000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 315524 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, 250, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| ARK MGMT HOLDINGS, LLC | Managing Member | 24641 US HIGHWAY 19 N, CLEARWATER, FL 33763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000133011 | CARRINGTON PLACE OF ST. PETE | ACTIVE | 2022-10-25 | 2027-12-31 | No data | 24641 US HWY 19 N., CLEARWATER, FL, 33763 |
| G11000052202 | CARRINGTON PLACE OF ST. PETE | EXPIRED | 2011-06-03 | 2016-12-31 | No data | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| G11000052238 | CARRINGTON PLACE NURSING & REHABILITATION CENTER | EXPIRED | 2011-06-03 | 2016-12-31 | No data | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 1200 S PINE ISLAND RD, 250, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-30 | CT CORPORATION SYSTEM | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-18 | 10501 ROOSEVELT BLVD N, ST PETERSBURG, FL 33716 | No data |
| LC AMENDMENT | 2013-06-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-11 | 10501 ROOSEVELT BLVD N, ST PETERSBURG, FL 33716 | No data |
| LC AMENDMENT | 2011-06-16 | No data | No data |
| LC AMENDMENT | 2011-05-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-03-12 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24825N0045 | 2024-10-01 | 2025-09-30 | 2025-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 700000.00 |
| Current Award Amount | 700000.00 |
| Potential Award Amount | 700000.00 |
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 | CPLACE OF ST PETE, LLC |
| UEI | DXSKV5WVS6K6 |
| Recipient Address | UNITED STATES, 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, PINELLAS, FLORIDA, 337163816 |
| Unique Award Key | CONT_IDV_36C24824D0001_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 3500000.00 |
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 | CPLACE OF ST PETE, LLC |
| UEI | DXSKV5WVS6K6 |
| Recipient Address | UNITED STATES, 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, PINELLAS, FLORIDA, 337163816 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
