| Entity Name: | BELLEAIR EAST HCC, 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: | M03000002861 |
| FEI/EIN Number |
760738976
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1950 Lower Birmingham Road, Canton, GA, 30115, US |
| Mail Address: | 1950 Lower Birmingham Road, Canton, GA, 30115, US |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891782488 | 2005-09-29 | 2009-10-19 | 1150 PONCE DE LEON BLVD, CLEARWATER, FL, 337561041, US | 1150 PONCE DE LEON BLVD, CLEARWATER, FL, 337561041, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-585-5491 |
| Fax | 7275845893 |
Authorized person
| Name | MR. SAMUEL B. KELLETT |
| Role | AS SOLE MEMBER OF SBK CAPITAL LLC |
| Phone | 4042337048 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF10480962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | VA |
| Number | V516P-6819 |
| Issuer | MEDICAID |
| Number | 026452100 |
| 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 |
|---|---|---|---|---|---|---|
| G08150700017 | BELLEAIR HEALTH CARE CENTER | ACTIVE | 2008-05-29 | 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 Road, Canton, GA 30115 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 1950 Lower Birmingham Road, Canton, GA 30115 | - |
| 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 | 2019-02-07 |
| 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 | 36C24824N0816 | 2024-07-01 | 2025-06-30 | 2025-06-30 | |||||||||||||||||||||||||
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| Obligated Amount | 383499.46 |
| Current Award Amount | 383499.46 |
| Potential Award Amount | 383499.46 |
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 | BELLEAIR EAST HCC LLC |
| UEI | LRK3J5GMFLW8 |
| Recipient Address | UNITED STATES, 1150 PONCE DE LEON BLVD, CLEARWATER, PINELLAS, FLORIDA, 33756 |
| Unique Award Key | CONT_IDV_36C24823D0080_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 1917497.30 |
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 | BELLEAIR EAST HCC LLC |
| UEI | LRK3J5GMFLW8 |
| Recipient Address | UNITED STATES, 1150 PONCE DE LEON BLVD, CLEARWATER, PINELLAS, FLORIDA, 33756 |
| Unique Award Key | CONT_IDV_VA248BO0181_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BELLEAIR EAST HCC LLC |
| UEI | LRK3J5GMFLW8 |
| Legacy DUNS | 145887316 |
| Recipient Address | 1150 PONCE DE LEON BLVD, CLEARWATER, 337561041, UNITED STATES |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7447227304 | 2020-04-30 | 0455 | PPP | 1150 PONCE DE LEON BLVD, CLEARWATER, FL, 33756-1041 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P0587536 | BELLEAIR EAST HCC LLC | - | LRK3J5GMFLW8 | 1150 PONCE DE LEON BLVD, CLEARWATER, FL, 33756-1041 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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) |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2586171 | Intrastate Non-Hazmat | 2023-07-10 | 12500 | 2022 | 1 | 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
