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2916 HABANA WAY OPERATIONS LLC - Florida Company Profile

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Company Details

Entity Name: 2916 HABANA WAY OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

2916 HABANA WAY OPERATIONS 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 17 Nov 2011 (14 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 Feb 2012 (13 years ago)
Document Number: L11000131257
FEI/EIN Number 611665516

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 1040 CROWN POINTE PKWY STE 600, ATLANTA, GA, 30338-4741, US
Address: 850 CONCOURSE PKWY STE 250, MAITLAND, FL, 32751, US
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role
CORPORATION SERVICE COMPANY Agent
EPSILON HEALTH CARE PROPERTIES, LLC Member

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
S3WQBB8CWUM3
CAGE Code:
3TJM5
UEI Expiration Date:
2025-01-05

Business Information

Activation Date:
2024-01-09
Initial Registration Date:
2011-10-24

National Provider Identifier

NPI Number:
1932478674
Certification Date:
2020-07-30

Authorized Person:

Name:
KENNETH USSERY JR.
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Fax:
8138765233

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000012052 HABANA HEALTH CARE CENTER ACTIVE 2012-02-03 2027-12-31 - 1040 CROWN POINTE PARKWAY, SUITE 600, ATLANTA, GA, 30338

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 850 CONCOURSE PKWY STE 250, MAITLAND, FL 32751 -
CHANGE OF MAILING ADDRESS 2018-06-19 850 CONCOURSE PKWY STE 250, MAITLAND, FL 32751 -
REGISTERED AGENT NAME CHANGED 2012-03-20 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2012-03-20 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
MERGER 2012-02-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000119897

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-17
AMENDED ANNUAL REPORT 2016-07-14
ANNUAL REPORT 2016-04-21

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24817D0034
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
1000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-11-14
Description:
IGF::CT::IGF NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24817J0766
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
250000.00
Base And Exercised Options Value:
250000.00
Base And All Options Value:
250000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-11-14
Description:
IGF::CT::IGF NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24816J1851
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
74000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-11-14
Description:
NURSING HOME AGREEMENT IGF::CT::IGF
Naics Code:
624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

OSHA's Inspections within Industry

Inspection Summary

Date:
2023-05-12
Type:
Complaint
Address:
2916 HABANA WAY, TAMPA, FL, 33614
Safety Health:
Health
Scope:
Partial

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Date of last update: 03 Jun 2025

Sources: Florida Department of State