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CREEKSIDE REHAB OPCO, LLC - Florida Company Profile

Company Details

Entity Name: CREEKSIDE REHAB OPCO, 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: 25 Jan 2023 (2 years ago)
Document Number: M23000001003
FEI/EIN Number 92-1700013

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 10150 HIGHLAND MANOR DR #300, TAMPA, FL, 33610, US
Address: 511 Swift Rd., Sarasota, FL, 34321, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952016214 2023-01-20 2023-01-20 10150 HIGHLAND MANOR DR STE 300, TAMPA, FL, 336109712, US 5511 SWIFT RD, SARASOTA, FL, 342316209, US

Contacts

Phone +1 941-921-7462

Authorized person

Name TRICIA THACKER
Role AUTHORIZED OFFICIAL
Phone 8135586608

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Key Officers & Management

Name Role Address
PLATINUM AGENT SERVICES LLC Agent -
WOZNIAK DAWN M Auth 10150 HIGHLAND MANOR DR #300, TAMPA, FL, 33610

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000021052 CREEKSIDE HEALTH REHABILITATION CENTER ACTIVE 2023-02-14 2028-12-31 - 5511 SWIFT RD, SARASOTA, FL, 34321

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-12 511 Swift Rd., Sarasota, FL 34321 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-12
ANNUAL REPORT 2024-04-30
Foreign Limited 2023-01-25

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
- IDV 36C24824D0077 2024-07-01 - -
Unique Award Key CONT_IDV_36C24824D0077_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 4000000.00

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 CREEKSIDE REHAB OPCO, LLC
UEI FTKRNN5SM9B1
Recipient Address UNITED STATES, 5511 SWIFT RD, SARASOTA, SARASOTA, FLORIDA, 342316209
DELIVERY ORDER AWARD 36C24824N0792 2024-07-01 2025-06-30 2025-06-30
Unique Award Key CONT_AWD_36C24824N0792_3600_36C24824D0077_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 800000.00
Current Award Amount 800000.00
Potential Award Amount 800000.00

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 CREEKSIDE REHAB OPCO, LLC
UEI FTKRNN5SM9B1
Recipient Address UNITED STATES, 5511 SWIFT RD, SARASOTA, SARASOTA, FLORIDA, 342316209

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3256580 CREEKSIDE REHAB OPCO, LLC CREEKSIDE HEALTH REHABILITATION CENTER FTKRNN5SM9B1 5511 SWIFT RD, SARASOTA, FL, 34231-6209
Capabilities Statement Link -
Phone Number 941-266-3027
Fax Number -
E-mail Address john.richards@astonhealth.com
WWW Page -
E-Commerce Website -
Contact Person JOHN RICHARDS
County Code (3 digit) 115
Congressional District 17
Metropolitan Statistical Area 7510
CAGE Code 9V1F6
Year Established 2023
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)

Date of last update: 01 Mar 2025

Sources: Florida Department of State