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CREEKSIDE REHAB OPCO, LLC - Florida Company Profile

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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

Key Officers & Management

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

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
JOHN RICHARDS
User ID:
P3256580
Trade Name:
CREEKSIDE HEALTH REHABILITATION CENTER

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FTKRNN5SM9B1
CAGE Code:
9V1F6
UEI Expiration Date:
2026-03-04

Business Information

Doing Business As:
CREEKSIDE HEALTH REHABILITATION CENTER
Activation Date:
2025-03-06
Initial Registration Date:
2024-03-20

National Provider Identifier

NPI Number:
1952016214
Certification Date:
2023-01-20

Authorized Person:

Name:
TRICIA THACKER
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

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

Procurement Instrument Identifier:
36C24824D0077
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
4000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-07-01
Description:
ESTIMATED NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24824N0792
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
800000.00
Base And Exercised Options Value:
800000.00
Base And All Options Value:
800000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-07-01
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

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Date of last update: 02 Jun 2025

Sources: Florida Department of State