| Entity Name: | CYPRESS COVE CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| 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: | 20 Sep 2000 (25 years ago) |
| Document Number: | M00000001941 |
| FEI/EIN Number |
621832454
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 700 SE Dr Martin Luther King Jr Ave, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 700 SE Dr Martin Luther King Jr Ave, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932100229 | 2005-08-09 | 2023-09-07 | 700 SE DR. MARTIN LUTHER KING AVE, CRYSTAL RIVER, FL, 344294855, US | 700 SE DR. MARTIN LUTHER KING JR. AVENUE, CRYSTAL RIVER, FL, 344294855, US | |||||||||||||||||||||||||
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| Phone | +1 352-795-8832 |
| Fax | 3527950490 |
Authorized person
| Name | SCOTT FISHER |
| Role | CFO |
| Phone | 3524170360 |
Taxonomy
| Taxonomy Code | 313M00000X - Nursing Facility/Intermediate Care Facility |
| License Number | SNF1115096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022894000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Fisher Scott | Secretary | 7056 W. GULF TO LAKE HWY., CRYSTAL RIVER, FL, 34429 |
| Shatz Jim | President | 7056 West Gulf to Lake Highway, Crystal River, FL, 34429 |
| White Josh | Manager | 7056 West Gulf to Lake Hwy, Crystal River, FL, 34429 |
| Jackson Brian | Manager | 7056 West Gulf to Lake Hwy, Crystal River, FL, 34429 |
| NRAI SERVICES, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000157686 | CYPRESS COVE CARE CENTER | ACTIVE | 2022-12-21 | 2027-12-31 | - | 700 SE DR MARTIN LUTHER KING JR AVE, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-04 | 700 SE Dr Martin Luther King Jr Ave, CRYSTAL RIVER, FL 34429 | - |
| CHANGE OF MAILING ADDRESS | 2022-10-04 | 700 SE Dr Martin Luther King Jr Ave, CRYSTAL RIVER, FL 34429 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | - |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| ESTATE OF CATHLEEN SANDY, ETC. VS CYPRESS COVE CARE CENTER, LLC, ET AL. | 5D2015-1888 | 2015-05-29 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | ESTATE OF CATHLEEN SANDY |
| Role | Appellant |
| Status | Active |
| Representations | Megan Gisclar Colter, ISAAC R. RUIZ-CARUS, Donna Hanes |
| Name | THOMAS R. DAVIS, JR. |
| Role | Appellant |
| Status | Active |
| Name | HEALTH SERVICES MANAGEMENT, INC. |
| Role | Appellee |
| Status | Active |
| Name | HSM FINANCIAL SERVICES, LLC |
| Role | Appellee |
| Status | Active |
| Name | HEALTHCARE ADVISORY SERVICES, LLC |
| Role | Appellee |
| Status | Active |
| Name | LAURA A. SULLIVAN |
| Role | Appellee |
| Status | Active |
| Name | CYPRESS COVE CARE CENTER, LLC |
| Role | Appellee |
| Status | Active |
| Representations | MICHAEL G. STOFER, KENNETH C. DEACON, JR., GAIL F. MOULDS |
| Name | HEALTH SERVICES MANAGEMENT OF |
| Role | Appellee |
| Status | Active |
| Name | JANETH P. SOLIS |
| Role | Appellee |
| Status | Active |
| Name | HON. PATRICIA THOMAS |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Clerk Citrus |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2016-01-29 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD |
| Docket Date | 2016-01-29 |
| Type | Mandate |
| Subtype | Mandate |
| Description | Mandate |
| Docket Date | 2016-01-12 |
| Type | Disposition by Opinion |
| Subtype | Affirmed |
| Description | Affirmed - Per Curiam Affirmed ~ PCA |
| Docket Date | 2015-10-21 |
| Type | Brief |
| Subtype | Reply Brief |
| Description | Appellant's Reply Brief |
| On Behalf Of | ESTATE OF CATHLEEN SANDY |
| Docket Date | 2015-09-18 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to Serve Reply Brief |
| Description | Order Grant EOT Reply Brief |
| Docket Date | 2015-09-18 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time to Serve Reply Brief |
| Description | Mot. for Extension of Time to File Reply Brief |
| On Behalf Of | ESTATE OF CATHLEEN SANDY |
| Docket Date | 2015-09-01 |
| Type | Order |
| Subtype | Order Dispensing with Oral Argument |
| Description | ORD-DISPENSING ORAL ARGUMENT ~ REQ FOR RECONSIDERATION MAY BE FILED W/IN 10 DAYS |
| Docket Date | 2015-08-31 |
| Type | Brief |
| Subtype | Answer Brief |
| Description | Appellee's Answer Brief |
| On Behalf Of | CYPRESS COVE CARE CENTER, LLC |
| Docket Date | 2015-08-31 |
| Type | Misc. Events |
| Subtype | Miscellaneous Docket Entry |
| Description | Miscellaneous Docket Entry ~ REQ FOR OA; AE Michael G. Stofer 108472 |
| Docket Date | 2015-07-28 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to Serve Answer Brief |
| Description | Order Grant EOT for Answer Brief |
| Docket Date | 2015-07-27 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time to Serve Answer Brief |
| Description | Mot. for Extensio of time to file Answer Brief |
| On Behalf Of | CYPRESS COVE CARE CENTER, LLC |
| Docket Date | 2015-07-10 |
| Type | Brief |
| Subtype | Initial Brief |
| Description | Initial Brief on Merits |
| On Behalf Of | ESTATE OF CATHLEEN SANDY |
| Docket Date | 2015-06-10 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to Serve Initial Brief |
| Description | Order Grant EOT for Initial Brief |
| Docket Date | 2015-06-09 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time to Serve Initial Brief |
| Description | Mot. for Extension of time to file Initial Brief |
| On Behalf Of | ESTATE OF CATHLEEN SANDY |
| Docket Date | 2015-06-02 |
| Type | Misc. Events |
| Subtype | Docketing Statement |
| Description | Docketing Statement Appellant ~ AA Megan Leigh Gisclar 0097927 |
| Docket Date | 2015-05-29 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 |
| Docket Date | 2015-05-29 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | A3:Paid In Full - $300 |
| Docket Date | 2015-05-29 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ FILED BELOW 5/27/15 |
| On Behalf Of | ESTATE OF CATHLEEN SANDY |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-04-27 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0070 | 2011-04-01 | - | - | |||||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 50000.00 |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | CYPRESS COVE CARE CENTER, LLC |
| UEI | P6BPEN2L2YL1 |
| Recipient Address | 700 SE 8TH AVE, CRYSTAL RIVER, CITRUS, FLORIDA, 344294868, UNITED STATES |
| Unique Award Key | CONT_AWD_VA24812JN011_3600_VA248BO0070_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 240619.63 |
| Current Award Amount | 327663.63 |
| Potential Award Amount | 327663.63 |
Description
| Title | IGF::CL::IGF CLOSELY ASSOCIATED COMMUNITY NURSING HOME BOA DO TO REPORT 1358 FY-12 OBLIGATIONS TO FPDS |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | CYPRESS COVE CARE CENTER, LLC |
| UEI | P6BPEN2L2YL1 |
| Recipient Address | 700 SE 8TH AVE, CRYSTAL RIVER, CITRUS, FLORIDA, 344294868, UNITED STATES |
| Unique Award Key | CONT_AWD_VA573B0024_3600_VA248BO0070_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 43522.00 |
| Current Award Amount | 43522.00 |
| Potential Award Amount | 43522.00 |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | CYPRESS COVE CARE CENTER, LLC |
| UEI | P6BPEN2L2YL1 |
| Recipient Address | 700 SE 8TH AVE, CRYSTAL RIVER, CITRUS, FLORIDA, 344294868, UNITED STATES |
| Unique Award Key | CONT_AWD_VA573B0011_3600_VA248BO0070_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 43522.00 |
| Current Award Amount | 43522.00 |
| Potential Award Amount | 43522.00 |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | CYPRESS COVE CARE CENTER, LLC |
| UEI | P6BPEN2L2YL1 |
| Recipient Address | 700 SE 8TH AVE, CRYSTAL RIVER, CITRUS, FLORIDA, 344294868, UNITED STATES |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2562701 | Intrastate Non-Hazmat | 2020-07-14 | 10000 | 2019 | - | 4 | Priv. Pass. (Business) | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
