| Entity Name: | KISSIMMEE OPCO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
KISSIMMEE OPCO 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: | 02 Aug 2017 (8 years ago) |
| Document Number: | L17000164428 |
| FEI/EIN Number |
82-2360303
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 221 PARK PLACE BLVD, KISSIMMEE, FL 34741 |
| Mail Address: | 221 PARK PLACE BLVD, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518619089 | 2022-01-25 | 2022-01-25 | 2511 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347411653, US | 2511 N JOHN YOUNG PKWY, KISSIMMEE, FL, 347411653, US | |||||||||||||||||||||
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| Phone | +1 407-931-3336 |
| Fax | 4079314336 |
Authorized person
| Name | MATHEW VARGHESE |
| Role | MEMBER |
| Phone | 9178173530 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 130471004 |
| State | FL |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| TOK LTC HOLDINGS LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000021805 | THE TERRACE OF KISSIMMEE | ACTIVE | 2023-02-15 | 2028-12-31 | - | 221 PARK PLACE BLVD, KISSIMMEE, FL, 34741 |
| G22000016637 | KISSIMMEE NURSING & REHABILITATION CENTER | ACTIVE | 2022-02-15 | 2027-12-31 | - | 2511 N. JOHN YOUNG PKWY, KISSIMMEE, FL, 34741 |
| G17000104395 | THE TERRACE OF KISSIMMEE | EXPIRED | 2017-09-19 | 2022-12-31 | - | 221 PARK PLACE BLVD, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-22 |
| Florida Limited Liability | 2017-08-02 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24825N0129 | 2024-10-22 | 2025-10-21 | 2025-10-21 | |||||||||||||||||||||||||
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| Obligated Amount | 400000.00 |
| Current Award Amount | 400000.00 |
| Potential Award Amount | 400000.00 |
Description
| Title | ESTIMATED NURSING HOME SERICES |
| 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 | KISSIMMEE OPCO LLC |
| UEI | Z8C1N4LB34H7 |
| Recipient Address | UNITED STATES, 2511 N. JOHN YOUNG PARKWAY, KISSIMMEE, OSCEOLA, FLORIDA, 34741 |
| Unique Award Key | CONT_IDV_36C24823D0016_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 2000000.00 |
Description
| Title | ESTIMATED NURSING HOME SERICES |
| 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 | KISSIMMEE OPCO LLC |
| UEI | Z8C1N4LB34H7 |
| Recipient Address | UNITED STATES, 2511 N. JOHN YOUNG PARKWAY, KISSIMMEE, OSCEOLA, FLORIDA, 34741 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8999867104 | 2020-04-15 | 0455 | PPP | 221 Park Place Blvd., KISSIMMEE, FL, 34741 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
