| Entity Name: | CRESCENT BEACH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CRESCENT BEACH CARE, 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: | 25 Mar 2013 (12 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 31 Oct 2019 (5 years ago) |
| Document Number: | L13000044236 |
| FEI/EIN Number |
46-2354352
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6573 A1A SOUTH, ST AUGUSTINE, FL, 32080-7504, US |
| Mail Address: | 6573 A1A SOUTH, ST AUGUSTINE, FL, 32080-7504, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033451380 | 2013-03-25 | 2013-05-18 | 6573 A1A S, SAINT AUGUSTINE, FL, 320807504, US | 6573 A1A S, SAINT AUGUSTINE, FL, 320807504, US | |||||||||||||||||||
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| Phone | +1 904-342-7363 |
| Fax | 9043427367 |
Authorized person
| Name | DR. ADRIAN SHANE LONG |
| Role | MEMBER-MANAGED |
| Phone | 9043427363 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ME109167 |
| State | FL |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300TKZ3MGHH2XEH49 | L13000044236 | US-FL | GENERAL | ACTIVE | - | |||||||||||||||||||
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| Legal | C/O ANDREWS, GAIL E, 1750-G A1A SOUTH, ST AUGUSTINE, US-FL, US, 32080 |
| Headquarters | 6573 A1A SOUTH, St Augustine, US-FL, US, 32080 |
Registration details
| Registration Date | 2021-04-30 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2022-04-29 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L13000044236 |
| Name | Role | Address |
|---|---|---|
| LONG ADRIAN S | Managing Member | 6573 A1A SOUTH, ST AUGUSTINE, FL, 320807504 |
| Thorhallsdottir Margret | Manager | 6573 A1A SOUTH, ST AUGUSTINE, FL, 320807504 |
| ANDREWS GAIL E | Agent | 1750-G A1A SOUTH, ST AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-10-31 | ANDREWS, GAIL E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-31 | 1750-G A1A SOUTH, ST AUGUSTINE, FL 32080 | - |
| LC STMNT OF RA/RO CHG | 2019-10-31 | - | - |
| REINSTATEMENT | 2019-10-16 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-12 | 6573 A1A SOUTH, ST AUGUSTINE, FL 32080-7504 | - |
| CHANGE OF MAILING ADDRESS | 2013-04-12 | 6573 A1A SOUTH, ST AUGUSTINE, FL 32080-7504 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-12 |
| CORLCRACHG | 2019-10-31 |
| REINSTATEMENT | 2019-10-16 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9609967001 | 2020-04-09 | 0491 | PPP | 6573 A1A South, SAINT AUGUSTINE, FL, 32080-7504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2963626 | CRESCENT BEACH CARE, LLC | CRESCENT BEACH CARE LLC | PJFNRJ4ME8T1 | 6573 A1A S, SAINT AUGUSTINE, FL, 32080-7504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | 621111 |
| NAICS Code's Description | Offices of Physicians (except Mental Health Specialists) |
| 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
