Entity Name: | CONWAY LAKES NC, 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) |
Document Number: | M03000002857 |
FEI/EIN Number |
760738978
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 | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649267212 | 2005-09-29 | 2022-02-14 | 5201 CURRY FORD RD, ORLANDO, FL, 328128741, US | 5201 CURRY FORD RD, ORLANDO, FL, 328128741, US | |||||||||||||||||||||||||||||
|
Phone | +1 407-384-8838 |
Fax | 4073847936 |
Authorized person
Name | MR. SAMUEL B KELLETT |
Role | AS SOLE MEMBER OF SBK CAPITAL LLC |
Phone | 4042501846 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF11020963 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | VA |
Number | V673P-5339 |
Issuer | MEDICAID |
Number | 026451200 |
State | FL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | - |
SBK CAPITAL, L.L.C. | Managing Member | 3450 Ridgewood Road, NW, ATLANTA, GA, 30327 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G11000099545 | CONWAY LAKES HEALTH & REHABILITATION CENTER | ACTIVE | 2011-10-10 | 2026-12-31 | - | 3450 RIDGEWOOD ROAD NW, ATLANTA, GA, 30327 |
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 | - |
Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CONWAY LAKES NC, LLC D/B/A CONWAY LAKES HEALTH AND REHABILITATION CENTER VS AGENCY FOR HEALTH CARE ADMINISTRATION | 5D2021-2994 | 2021-12-07 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Name | CONWAY LAKES NC, LLC |
Role | Appellant |
Status | Active |
Representations | Taylor Huston |
Name | Conway Lakes Health and Rehabilitation Center |
Role | Appellant |
Status | Active |
Name | Clerk Agency Health Care |
Role | Appellee |
Status | Active |
Representations | Tracy Cooper George, Eugenia Keough Rains, Richard Santurri |
Name | Clerk Division of Administrative |
Role | Appellee |
Status | Active |
Docket Entries
Docket Date | 2021-12-07 |
Type | Misc. Events |
Subtype | Fee Status |
Description | FP:Fee Paid Through Portal |
On Behalf Of | Conway Lakes NC, LLC |
Docket Date | 2021-12-07 |
Type | Order |
Subtype | Order on Filing Fee |
Description | Order to pay filing fee - Administrative (300) |
Docket Date | 2022-03-23 |
Type | Brief |
Subtype | Answer Brief |
Description | Appellee's Answer Brief |
On Behalf Of | Clerk Agency Health Care |
Docket Date | 2022-02-22 |
Type | Order |
Subtype | Order Discharging Show Cause Order |
Description | ORD-Discharging Show Cause ~ RESPONSE ACKNOWLEDGED; IB ACCEPTED; OTSC DISCHARGED |
Docket Date | 2022-02-21 |
Type | Brief |
Subtype | Initial Brief |
Description | Initial Brief on Merits |
On Behalf Of | Conway Lakes NC, LLC |
Docket Date | 2022-02-21 |
Type | Response |
Subtype | Response |
Description | RESPONSE ~ PER 2/15 ORDER |
On Behalf Of | Conway Lakes NC, LLC |
Docket Date | 2022-02-18 |
Type | Notice |
Subtype | Notice of Appearance |
Description | Notice of Appearance |
On Behalf Of | Clerk Agency Health Care |
Docket Date | 2022-02-15 |
Type | Order |
Subtype | Show Cause |
Description | Show Cause Lack of Prosecution, Initial Brief ~ AA W/IN 10 DYS |
Docket Date | 2021-12-20 |
Type | Record |
Subtype | Record on Appeal |
Description | Received Records ~ 244 PAGES |
On Behalf Of | Clerk Division of Administrative |
Docket Date | 2021-12-15 |
Type | Order |
Subtype | Order |
Description | Miscellaneous Order ~ RESPONSE ACKNOWLEDGED; APPEAL SHALL NOT BE RESTRICTED |
Docket Date | 2021-12-14 |
Type | Response |
Subtype | Response |
Description | RESPONSE ~ PER 12/8 ORDER- JOINT RESPONSE |
On Behalf Of | Clerk Agency Health Care |
Docket Date | 2021-12-09 |
Type | Notice |
Subtype | Notice of Appearance |
Description | Notice of Appearance |
On Behalf Of | Clerk Agency Health Care |
Docket Date | 2021-12-08 |
Type | Order |
Subtype | Order |
Description | Miscellaneous Order ~ PARTIES W/IN 10 DYS ADVISE RE: RESTRICT/MEDICAID |
Docket Date | 2021-12-07 |
Type | Letter |
Subtype | Acknowledgment Letter |
Description | Acknowledgement Letter 1 |
Docket Date | 2021-12-07 |
Type | Notice |
Subtype | Notice of Appeal |
Description | Notice of Appeal Filed ~ FILED BELOW 12/6/21 |
On Behalf Of | Conway Lakes NC, LLC |
Docket Date | 2022-10-25 |
Type | Record |
Subtype | Returned Records |
Description | Returned Records ~ NO RECORD E-FILED |
Docket Date | 2022-10-25 |
Type | Mandate |
Subtype | Mandate |
Description | Mandate |
Docket Date | 2022-10-04 |
Type | Disposition by Opinion |
Subtype | Affirmed |
Description | Affirmed - Per Curiam Affirmed ~ PCA |
Docket Date | 2022-05-17 |
Type | Notice |
Subtype | Notice |
Description | NOTICE OF PANEL ASSIGNMENT |
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 | 2016-03-30 |
ANNUAL REPORT | 2015-03-23 |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DELIVERY ORDER | AWARD | 36C24824N0575 | 2024-04-18 | 2025-04-17 | 2025-04-17 | |||||||||||||||||||||||||
|
Obligated Amount | 1250000.00 |
Current Award Amount | 1250000.00 |
Potential Award Amount | 1250000.00 |
Description
Title | COMMUNITY NURSING HOME SERVICES |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | CONWAY LAKES NC, LLC |
UEI | H6HJEJAU7GG8 |
Recipient Address | UNITED STATES, 5201 CURRY FORD RD, ORLANDO, ORANGE, FLORIDA, 328128741 |
Unique Award Key | CONT_IDV_36C24821D0054_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 0.00 |
Potential Award Amount | 6250000.00 |
Description
Title | EO14042 COMMUNITY NURSING HOME SERVICES |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | CONWAY LAKES NC, LLC |
UEI | H6HJEJAU7GG8 |
Recipient Address | UNITED STATES, 5201 CURRY FORD RD, ORLANDO, ORANGE, FLORIDA, 328128741 |
Unique Award Key | CONT_IDV_VA248BO0074_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Description
Title | CONTRACT COMMUNITY NURSING HOME CARE |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | CONWAY LAKES NC, LLC |
UEI | H6HJEJAU7GG8 |
Legacy DUNS | 156775368 |
Recipient Address | 5201 CURRY FORD RD, ORLANDO, 328128741, UNITED STATES |
Unique Award Key | CONT_IDV_VA248BO0074FY08_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Description
Title | CONTRACT COMMUNITY NURSING HOME CARE |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | CONWAY LAKES NC, LLC |
UEI | H6HJEJAU7GG8 |
Legacy DUNS | 156775368 |
Recipient Address | 5201 CURRY FORD RD, ORLANDO, 328128741, UNITED STATES |
Unique Award Key | CONT_AWD_V673P5339FY08_3600_V673P5339_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Description
Title | COMMUNITY NURSING HOME EXPENDITURE - FY08 |
NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
Recipient | CONWAY LAKES NC, LLC |
UEI | H6HJEJAU7GG8 |
Legacy DUNS | 156775368 |
Recipient Address | 5201 CURRY FORD RD, ORLANDO, 328128741, UNITED STATES |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
7467597307 | 2020-04-30 | 0491 | PPP | 5201 curry ford rd, ORLANDO, FL, 32812 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Active | P0595417 | CONWAY LAKES NC, LLC | - | H6HJEJAU7GG8 | 5201 CURRY FORD RD, ORLANDO, FL, 32812-8741 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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 | $0 |
Description | Construction Bonding Level (aggregate) |
Level | $0 |
Description | Service Bonding Level (per contract) |
Level | $0 |
Description | Service Bonding Level (aggregate) |
Level | $0 |
NAICS Codes with Size Determinations by NAICS
Primary | Yes |
Code | 623110 |
NAICS Code's Description | Nursing Care Facilities (Skilled Nursing Facilities) |
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) |
USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2572108 | Intrastate Non-Hazmat | 2023-01-19 | 15000 | 2022 | 2 | 2 | Priv. Pass. (Business), Priv. Pass.(Non-business) | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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: 02 Mar 2025
Sources: Florida Department of State