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DEEP CREEK RNC, LLC - Florida Company Profile

Company Details

Entity Name: DEEP CREEK RNC, 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: M03000002858
FEI/EIN Number 760738973

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679560262 2005-09-29 2018-06-12 25325 RAMPART BLVD, PORT CHARLOTTE, FL, 339836404, US 25325 RAMPART BLVD, PORT CHARLOTTE, FL, 33983, US

Contacts

Phone +1 941-629-7466
Fax 9416299053

Authorized person

Name MR. SAMUEL B KELLETT
Role MANAGING MEMBER OF SBK CAPITAL LLC
Phone 4042337048

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF14260961
State FL
Is Primary Yes

Other Provider Identifiers

Issuer VA
Number V516P-6820
Issuer MEDICAID
Number 0319325 00
State FL

Key Officers & Management

Name Role Address
SBK CAPITAL, L.L.C. Managing Member 3450 Ridgewood Road, NW, ATLANTA, GA, 30327
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08350700125 PORT CHARLOTTE REHABILITATION CENTER ACTIVE 2008-12-15 2028-12-31 - 1950 LOWER BIRMINGHAM ROAD, CANTON, GA, 30115

Events

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 DEEP CREEK RNC, LLC -

Documents

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

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24825N0052 2024-10-01 2025-09-30 2025-09-30
Unique Award Key CONT_AWD_36C24825N0052_3600_36C24824D0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 510987.93
Current Award Amount 510987.93
Potential Award Amount 510987.93

Description

Title NURSING HOME SERVICES
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 DEEP CREEK RNC LLC
UEI PXAFH98L75V3
Recipient Address UNITED STATES, 25325 RAMPART BLVD, PORT CHARLOTTE, CHARLOTTE, FLORIDA, 339836404
- IDV 36C24824D0004 2023-10-01 - -
Unique Award Key CONT_IDV_36C24824D0004_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 2554939.65

Description

Title ESTIMATED NURSING HOME SERVICES
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 DEEP CREEK RNC LLC
UEI PXAFH98L75V3
Recipient Address UNITED STATES, 25325 RAMPART BLVD, PORT CHARLOTTE, CHARLOTTE, FLORIDA, 339836404
- IDV VA248BO0167 2010-07-01 - -
Unique Award Key CONT_IDV_VA248BO0167_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title PROVIDE CARE FOR VA BENEFICIARIES MEDICAID RATE UPDATE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details

Recipient DEEP CREEK RNC LLC
UEI PXAFH98L75V3
Legacy DUNS 145887506
Recipient Address 25325 RAMPART BLVD, PT CHARLOTTE, 339836404, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7329087309 2020-04-30 0455 PPP 25325 Rampart Blvd, PUNTA GORDA, FL, 33983-6404
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1879600
Loan Approval Amount (current) 1879600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 98993
Servicing Lender Name Lake Michigan CU
Servicing Lender Address 5540 Glenwood Hills Pkwy SE, GRAND RAPIDS, MI, 49512-2044
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PUNTA GORDA, CHARLOTTE, FL, 33983-6404
Project Congressional District FL-17
Number of Employees 217
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 111774
Originating Lender Name Pilot Bank
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1900014.54
Forgiveness Paid Date 2021-06-11

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P0587540 DEEP CREEK RNC LLC PORT CHARLOTTE REHABILITATION CENTER PXAFH98L75V3 25325 RAMPART BLVD, PORT CHARLOTTE, FL, 33983-6404
Capabilities Statement Link -
Phone Number 321-725-6168
Fax Number 321-725-6168
E-mail Address speabody@clearchoicehc.com
WWW Page -
E-Commerce Website -
Contact Person SCOTT PEABODY
County Code (3 digit) 015
Congressional District 17
Metropolitan Statistical Area 6580
CAGE Code 3YVZ9
Year Established 2003
Accepts Government Credit Card No
Legal Structure LLC
Ownership and Self-Certifications -
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

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 (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

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)

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2586200 Intrastate Non-Hazmat 2023-01-19 20000 2022 0 3 Private(Property), Priv. Pass.(Non-business)
Legal Name DEEP CREEK RNC LLC
DBA Name PORT CHARLOTTE REHABILITATION CENTER
Physical Address 25325 RAMPART BLVD, PORT CHARLOTTE, FL, 33948, US
Mailing Address 25325 RAMPART BLVD, PORT CHARLOTTE, FL, 33948, US
Phone (321) 271-7116
Fax -
E-mail RSCHACHTER@CLEARCHOICEHEALTHHC.COM

Safety Measurement System - All Transportation

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: 03 Mar 2025

Sources: Florida Department of State