| Entity Name: | CENTRE POINTE HRC, 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: | 27 Aug 2003 (22 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 08 Oct 2003 (21 years ago) |
| Document Number: | M03000002853 |
| FEI/EIN Number |
760738977
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1950 Lower Birmingham Rd, Canton, GA, 30115, US |
| Mail Address: | 1950 Lower Birmingham Rd, Canton, GA, 30115, US |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053480061 | 2006-11-06 | 2009-02-19 | 175 E NASA BLVD, SUITE 303, MELBOURNE, FL, 329011998, US | 2255 CENTERVILLE RD, TALLAHASSEE, FL, 323084315, US | |||||||||||||||||||||||||||||
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| Phone | +1 321-725-6131 |
| Fax | 3217256168 |
| Phone | +1 850-386-4054 |
| Fax | 8504223206 |
Authorized person
| Name | JEFF CLEVELAND |
| Role | PRESIDENT AND COO |
| Phone | 3217256131 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 1081-96A |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 026456300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SBK CAPITAL, L.L.C. | Managing Member | 3450 Ridgewood Road, NW, ATLANTA, GA, 30327 |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G03281900049 | CENTRE POINTE HEALTH AND REHAB CENTER | ACTIVE | 2003-10-08 | 2028-12-31 | - | 1950 LOWER BIRMINGHAM ROAD, CANTON, GA, 30115 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-24 | 1950 Lower Birmingham Rd, Canton, GA 30115 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 1950 Lower Birmingham Rd, Canton, GA 30115 | - |
| NAME CHANGE AMENDMENT | 2003-10-08 | CENTRE POINTE HRC, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-03-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7372887308 | 2020-04-30 | 0491 | PPP | 2255 CENTERVILLE RD, TALLAHASSEE, FL, 32308-4315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2586178 | Intrastate Non-Hazmat | 2023-08-17 | 16000 | 2022 | 0 | 2 | Private(Property), Priv. Pass.(Non-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 Mar 2025
Sources: Florida Department of State
