Search icon

1010 CARPENTERS WAY OPERATIONS LLC - Florida Company Profile

Company Details

Entity Name: 1010 CARPENTERS WAY OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

1010 CARPENTERS 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: 18 Nov 2011 (13 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 Feb 2012 (13 years ago)
Document Number: L11000131355
FEI/EIN Number 364716312

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

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508135476 2011-12-22 2023-11-27 1010 CARPENTERS WAY, LAKELAND, FL, 338093926, US 1010 CARPENTERS WAY, LAKELAND, FL, 338093926, US

Contacts

Phone +1 863-815-0488
Fax 8638150580

Authorized person

Name KENNETH USSERY
Role VP
Phone 4075711550

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF130470996
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 004386700
State FL

Key Officers & Management

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

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000012178 WEDGEWOOD HEALTHCARE 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 700000119977

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 2018-04-19
ANNUAL REPORT 2017-04-17
AMENDED ANNUAL REPORT 2016-07-14
ANNUAL REPORT 2016-04-19

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P0586726 1010 CARPENTERS WAY OPERATIONS LLC - WBAMV7FEFL71 1010 CARPENTERS WAY, LAKELAND, FL, 33809-3926
Capabilities Statement Link -
Phone Number 407-988-7956
Fax Number -
E-mail Address Michelle.Connally@synergyhcs.com
WWW Page -
E-Commerce Website -
Contact Person MICHELLE CONNALLY
County Code (3 digit) 105
Congressional District 18
Metropolitan Statistical Area 3980
CAGE Code 3UVA4
Year Established 2011
Accepts Government Credit Card No
Legal Structure LLC
Ownership and Self-Certifications -
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

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)
Small 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: 02 Mar 2025

Sources: Florida Department of State