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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PLATINUM AGENT SERVICES LLC | Agent | - |
WOZNIAK DAWN M | Auth | 10150 HIGHLAND MANOR DR #300, TAMPA, FL, 33610 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-12-12 | 511 Swift Rd., Sarasota, FL 34321 | - |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-12-12 |
ANNUAL REPORT | 2024-04-30 |
Foreign Limited | 2023-01-25 |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
- | IDV | 36C24824D0077 | 2024-07-01 | - | - | |||||||||||||||||||||||||
|
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 |
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 |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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