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KISSIMMEE OPCO LLC - Florida Company Profile

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Company Details

Entity Name: KISSIMMEE OPCO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

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.
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: 02 Aug 2017 (8 years ago)
Document Number: L17000164428
FEI/EIN Number 822360303

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

Address: 221 PARK PLACE BLVD, KISSIMMEE, FL, 34741, US
Mail Address: 221 PARK PLACE BLVD, KISSIMMEE, FL, 34741, US
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Role
Agent
Manager

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:
Z8C1N4LB34H7
CAGE Code:
9CBC0
UEI Expiration Date:
2026-05-20

Business Information

Activation Date:
2025-05-22
Initial Registration Date:
2022-08-05

National Provider Identifier

NPI Number:
1518619089
Certification Date:
2022-01-25

Authorized Person:

Name:
MATHEW VARGHESE
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
4079314336

Fictitious Names

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

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-17 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 -

Documents

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24825N0129
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
400000.00
Base And Exercised Options Value:
400000.00
Base And All Options Value:
400000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-10-22
Description:
ESTIMATED NURSING HOME SERICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24824N0021
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
400000.00
Base And Exercised Options Value:
400000.00
Base And All Options Value:
400000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-10-22
Description:
ESTIMATED NURSING HOME SERICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24823D0016
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-22
Description:
ESTIMATED NURSING HOME SERICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
975000.00
Total Face Value Of Loan:
975000.00

Paycheck Protection Program

Jobs Reported:
171
Initial Approval Amount:
$975,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$975,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$987,608.22
Servicing Lender:
CIBC Bank USA
Use of Proceeds:
Payroll: $975,000

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Date of last update: 03 Jul 2025

Sources: Florida Department of State