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COMMUNITY CARE CENTER OF GRENADA LLC

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Company Details

Name: COMMUNITY CARE CENTER OF GRENADA LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Nov 2003 (22 years ago)
Business ID: 741367
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 762 AVERY BLVD NORTHRIDGELAND, MS 39157
Fictitious names: GRENADA LIVING CENTER
Historical names: Grenada Living Center DBA
GRENADA LIVING CENTER

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232

Member

Name Role Address
EXTENDED CARE ASSOCIATES INC Member 762 AVERY BLVD NORTH, RIDGELAND, MS 39157

Manager

Name Role Address
Kari Beasley Manager 763 Avery Blvd North, Ridgeland, MS 39157

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
662-226-5537
Contact Person:
KELLY MANN
User ID:
P1407318
Trade Name:
GRENADA LIVING CENTER

Unique Entity ID

Unique Entity ID:
F177EZAQMK33
CAGE Code:
3TDB8
UEI Expiration Date:
2025-08-06

Business Information

Doing Business As:
GRENADA LIVING CENTER
Activation Date:
2024-08-08
Initial Registration Date:
2004-03-30

Commercial and government entity program

CAGE number:
3TDB8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-08-08
CAGE Expiration:
2029-08-08
SAM Expiration:
2025-08-06

Contact Information

POC:
KELLY MANN

Immediate Level Owner

Vendor Certified:
2024-08-08
CAGE number:
91T70
Company Name:
EXTENDED CARE ASSOCIATES INC

National Provider Identifier

NPI Number:
1477501922

Authorized Person:

Name:
MRS. TONI PARKINSON
Role:
AUTHORIZED REPRESENTATIVE
Phone:

Taxonomy:

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

Contacts:

Fax:
6622265537

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-24 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Fictitious Name Registration Filed 2024-10-21 Fictitious Name Registration For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2024-04-09 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2023-04-12 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2022-04-11 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2021-04-05 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2020-03-26 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Fictitious Name Registration Filed 2019-07-12 Fictitious Name Registration For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2019-04-11 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC
Annual Report LLC Filed 2018-03-13 Annual Report For COMMUNITY CARE CENTER OF GRENADA LLC

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24923K0067
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
76006.24
Base And Exercised Options Value:
76006.24
Base And All Options Value:
76006.24
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: CONTRACT NURSING HOME-REPORT EXPENSES FOR 1ST QUARTER FOR FY23
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24923K0153
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
63870.71
Base And Exercised Options Value:
63870.71
Base And All Options Value:
63870.71
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: REPORT EXPENSES FOR NURSING HOME CARE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24923K0152
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
249999.00
Base And Exercised Options Value:
249999.00
Base And All Options Value:
249999.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: REPORT EXPENSES FOR NURSING HOME CARE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website