| 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 | |||||||||||||
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| 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 | - | - | |||||||||||||||||||||||||
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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) |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
