| Entity Name: | CCRC OPCO - CYPRESS VILLAGE, 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: | 21 May 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2020 (5 years ago) |
| Document Number: | M14000003470 |
| FEI/EIN Number |
36-4786349
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237, US |
| Mail Address: | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790199057 | 2014-06-16 | 2021-02-10 | 1920 MAIN ST STE 1200, IRVINE, CA, 926147230, US | 4600 MIDDLETON PARK CIR E, JACKSONVILLE, FL, 322245691, US | |||||||||||||
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| Phone | +1 904-223-6100 |
Authorized person
| Name | JEFFREY MILLER |
| Role | CEO/PRESIDENT |
| Phone | 9494070700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| CCRC OpCo Ventures, LLC | Member | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237 |
| Life Care Services, LLC, Health Center Adm | Auth | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000099720 | CYPRESS VILLAGE | EXPIRED | 2014-10-01 | 2024-12-31 | - | 4600 MIDDLETON PARK CIRCLE EAST, JACKSONVILLE, FL, 32224 |
| G14000099719 | THE INN AT CYPRESS VILLAGE | EXPIRED | 2014-10-01 | 2024-12-31 | - | 4600 MIDDLETON PARK CIRCLE, E., JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 4600 S Syracuse Street, Ste 500, Denver, CO 80237 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 4600 S Syracuse Street, Ste 500, Denver, CO 80237 | - |
| REGISTERED AGENT NAME CHANGED | 2020-10-02 | CT CORPORATION SYSTEM | - |
| REINSTATEMENT | 2020-10-02 | - | - |
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | - | - |
| LC AMENDMENT | 2020-03-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-10 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | - |
| LC STMNT OF RA/RO CHG | 2020-02-10 | - | - |
| LC STMNT OF RA/RO CHG | 2016-10-05 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-04-24 |
| REINSTATEMENT | 2020-10-02 |
| LC Amendment | 2020-03-24 |
| CORLCRACHG | 2020-02-10 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-25 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3422653 | Intrastate Non-Hazmat | 2023-03-07 | 50000 | 2022 | 4 | 6 | 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 |
Safety Measurement System - Passenger Transportation
| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance Percentile | Less than 5 driver inspections |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance Percentile | Less than 5 vehicle inspections |
| Controlled Substances and Alcohol BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance Percentile | 0% |
| Unsafe Driving BASIC Roadside Performance Percentile | 0% |
| 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 |
| Driver Fitness BASIC Roadside Performance Over Threshold Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator | No |
| Driver Fitness BASIC Indicator | No |
| 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 |
| Unsafe Driving BASIC Roadside Performance Over Threshold Indicator | No |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Vehicle Maintenance BASIC Indicator | No |
| 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 |
| Controlled Substances and Alcohol BASIC Indicator | No |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Unsafe Driving Overall BASIC Indicator | No |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
