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CENTERPLACE HEALTH, INC. - Florida Company Profile

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Company Details

Entity Name: CENTERPLACE HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 31 Mar 2005 (20 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 27 Feb 2018 (7 years ago)
Document Number: N05000003491
FEI/EIN Number 202779327

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

Address: 1750 17th Street Buiding N, Sarasota, FL, 34234-8690, US
Mail Address: 1750 17th Street Building N, SARASOTA, FL, 34234-8690, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Little William Chairman 535 Pine Ranch E. Rd., Osprey, FL, 34229
Gonzalez-Abello Lisa Chief Marketing Officer 1750 17th Street, Bldg. N, Sarasota, FL, 34234
Ellingstad Kari CEO Agent 1750 17TH STREET, SARASOTA, FL, 34234
Ellingstad Kari Chief Executive Officer 1750 17th Street Building N, SARASOTA, FL, 342348690
Dennard Arnold Secretary 4401 Bradenton Road, Sarasota, FL, 34234
Ferguson Anna Chief Operating Officer 1750 17th Street Building N, Sarasota, FL, 342348690
Fleshner Irene Treasurer 1688 Floyd St., Sarasota, FL, 34239

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.

CAGE Code:
832G5
UEI Expiration Date:
2021-01-09

Business Information

Division Name:
CENTERPLACE HEALTH, INC.
Activation Date:
2020-01-10
Initial Registration Date:
2018-03-22

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
832G5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-23
SAM Expiration:
2025-09-19

Contact Information

POC:
ANNA FERGUSON
Corporate URL:
www.centerplacehealth.org

National Provider Identifier

NPI Number:
1285472670
Certification Date:
2024-07-18

Authorized Person:

Name:
KARI AUD ELLINGSTAD
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
202779327
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000084926 CENTERPLACE HEALTH PHARMACY ACTIVE 2024-07-16 2029-12-31 - 1900 BROTHER GEENEN WAY, SARASOTA, FL, 43236

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-11 Ellingstad, Kari, CEO -
REGISTERED AGENT ADDRESS CHANGED 2022-04-12 1750 17TH STREET, Building N, SARASOTA, FL 34234 -
CHANGE OF PRINCIPAL ADDRESS 2021-02-04 1750 17th Street Buiding N, Sarasota, FL 34234-8690 -
CHANGE OF MAILING ADDRESS 2021-02-04 1750 17th Street Buiding N, Sarasota, FL 34234-8690 -
NAME CHANGE AMENDMENT 2018-02-27 CENTERPLACE HEALTH, INC. -
NAME CHANGE AMENDMENT 2015-11-09 COMMUNITY HEALTH CENTER OF SARASOTA COUNTY, INC. -
CANCEL ADM DISS/REV 2006-10-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-12
Reg. Agent Change 2021-02-11
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-01-28
Name Change 2018-02-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-19

USAspending Awards / Financial Assistance

Date:
2024-09-19
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CENTERPLACE HEALTH (CPH), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ESTABLISHED IN 2018 IN SARASOTA COUNTY, FLORIDA (HEALTH CENTER GRANT NO. H80CS31892) IS THE PRIMARY COMMUNITY SAFETY-NET ORGANIZATION THAT DELIVERS QUALITY MEDICAL, DENTAL, CHIROPRACTIC AND BEHAVIORAL HEALTHCARE TO CHILDREN, ADULTS, AND FAMILIES IN NEED, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. NEEDS: IN 2023, OUR PATIENT POPULATION WAS 28,030 ACROSS SERVICE LINES. 2023 MARKED A YEAR OF GROWTH FOR OUR BEHAVIORAL HEALTH SERVICES AS WE INVESTED FOR THE FIRST TIME IN A HEALTH-CENTER-EMPLOYED STAFFING MODEL. THE EXPANDED TEAM SERVED 3.5% OF OUR TOTAL PATIENT POPULATION THAT YEAR, OR 967 INDIVIDUALS. CURRENTLY, WE DO NOT PROVIDE SUBSTANCE USE DISORDER (SUD) SERVICES, UNDERSCORING THE NEED TO INCREASE BOTH OUR PATIENTS’ AND OUR COMMUNITY’S ACCESS TO MENTAL HEALTH AND SUD CARE. THIS NEED IS ESPECIALLY CRUCIAL GIVEN THE PREVALENCE OF MENTAL HEALTH AND SUD WITHIN OUR PATIENT POPULATION AND GEOGRAPHIC SERVICE AREA: APPROXIMATELY 24% OF CPH PATIENTS EXPERIENCE SYMPTOMS OF ANXIETY OR DEPRESSION ANNUALLY, WHILE 7.3% HAVE A SUD DIAGNOSIS. OUR COUNTY’S RATES OF DEPRESSION, SUICIDE DEATHS, NON-FATAL INTENTIONAL SELF-HARM INJURIES, AND OPIOID OVERDOSE DEATHS ALONG WITH A NUMBER OF OTHER INDICATORS OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES OUTPACE STATE AVERAGES. IN ADDITION, OUR HOMELESS POPULATION IS GROWING, HIGHLIGHTING THE NEED FOR TARGETED, TRAUMA-INFORMED TREATMENT THAT MEETS THEIR COMPLEX NEEDS. POPULATION: OUR PATIENT POPULATION IS RACIALLY AND ETHNICALLY DIVERSE AND INCLUDES SIGNIFICANT SEGMENTS OF TRADITIONALLY UNDERSERVED GROUPS AT HIGHER RISK FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS, INCLUDING THOSE WHO ARE UNINSURED (33.4%), INDIVIDUALS WITH MEDICAID (39.7%), CHILDREN AND YOUTH UNDER AGE 18 (45%), INDIVIDUALS WHO ARE HOMELESS (2.8%), PREGNANT WOMEN (5%), AND THOSE WHO IDENTIFY AS LGBTQ+ (9.8%). MORE THAN HALF (51%) ARE NON-WHITE AND 22.7% SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. MOST ARE UNDER-RESOURCED: 49% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 18% FALL BETWEEN 101% AND 200% OF THE FPL. PROPOSED SERVICES: OUR EXPANSION INITIATIVE WILL BOLSTER OUR CAPACITY TO PROVIDE TIMELY, TRAUMA-INFORMED AND CULTURALLY COMPETENT MENTAL HEALTH CARE, AND SUPPORT THE INITIATION OF SUBSTANCE USE DISORDER INTERVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES THROUGH STANDARDIZED SCREENING, WORKFORCE DEVELOPMENT AND EXPANSION, TARGETED POPULATION INITIATIVES, COMMUNITY PARTNERSHIPS, AND INTEGRATED COLLABORATIVE CARE MODELS TO ENHANCE ACCESS TO CARE AT ALL SEVEN OF OUR LOCATIONS; WE WILL ALSO INITIATE TARGETED TREATMENT SERVICES FOR INDIVIDUALS WHO ARE HOMELESS AT THE LOCAL HOMELESSNESS RESOURCE CENTER. THROUGH THIS EXPANSION INITIATIVE, WE WILL SERVE 2,000 MORE CHILDREN AND ADULTS PER YEAR. SPECIFICALLY, WE WILL: 1) INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY INCREASING OUR WORKFORCE, INTEGRATING OUR PSYCHOLOGY INTERNS INTO OUR MEDICAL CLINICS MORE ROUTINELY, INITIATING GROUP THERAPY, AND TRAINING OUR CASE MANAGERS TO CONDUCT BIOPSYCHOSOCIAL ASSESSMENTS AND MOTIVATIONAL INTERVIEWING. TO SUPPORT OUR GROWING PEDIATRIC SERVICE LINE, PSYCHOLOGICAL TESTING CAPACITY WILL INCREASE, ALLOWING FOR APPROPRIATE DIAGNOSIS AND TREATMENT EARLY IN LIFE. 2) INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) THROUGH AN INTEGRATED APPROACH THAT PRIORITIZES BOTH SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROTOCOLS AND MEDICATION-ASSISTED TREATMENT (MAT) WITHIN OUR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICE LINES. FURTHERMORE, OUR COMPREHENSIVE STRATEGY INCLUDES SERVING AS A KEY PARTNER IN THE FLORIDA COORDINATED OPIOID RECOVERY PROGRAM AND BUILDING A COORDINATED SYSTEM OF CARE FOR INDIVIDUALS LIVING WITH OUD.
Obligated Amount:
600000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-05
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)
Obligated Amount:
588907.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
90831.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
267858.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-10-21
Awarding Agency Name:
Federal Communications Commission
Transaction Description:
TELEHEALTH FOR CENTERPLACE HEALTH
Obligated Amount:
91179.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks

Serial Number:
97461619
Mark:
CP
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2022-06-16
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
CP

Goods And Services

For:
medical services, namely, primary care medical services for children and adults, chiropractic services, behavioral health services for children and adults; women's health services, namely, obstetrics and gynecologic services, birth control counseling and cancer screenings; mental health services; su...
First Use:
2018-02-27
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
97461982
Mark:
HEALTH CARE WITH HEART
Status:
ABANDONED-FAILURE TO RESPOND OR LATE RESPONSE
Mark Type:
SERVICE MARK
Application Filing Date:
2022-06-16
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
HEALTH CARE WITH HEART

Goods And Services

For:
medical services, namely, primary care medical services for children and adults, chiropractic services, behavioral services for children and adults, women's services including obstetrics and gynecologic services including birth control counseling and cancer screenings, mental health services, substa...
First Use:
2018-02-27
International Classes:
044 - Primary Class
Class Status:
Active

Tax Exempt

Employer Identification Number (EIN) :
20-2779327
In Care Of Name:
% KARI ELLINGSTAD
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2015-08
National Taxonomy Of Exempt Entities:
Health Care: Community Health Systems
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Jobs Reported:
135
Initial Approval Amount:
$809,649
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$809,649
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$818,937.47
Servicing Lender:
BankUnited, National Association
Use of Proceeds:
Payroll: $809,646
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State