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Community Care Center of Aberdeen, LLC

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Company Details

Name: Community Care Center of Aberdeen, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Oct 2009 (16 years ago)
Business ID: 956795
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 762 AVERY BLVD NORTHRIDGELAND, MS 39157
Fictitious names: CARE CENTER OF ABERDEEN
Historical names: Care Center of Aberdeen DBA
CARE CENTER OF ABERDEEN

Member

Name Role Address
The Jefferson Boyd and Jojuana Summit Trust Member 763 Avery Blvd North, Ridgeland, MS 39157

Manager

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

Agent

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

National Provider Identifier

NPI Number:
1063628451

Authorized Person:

Name:
MR. DAVID W STALLARD
Role:
PROVIDER REPRESENTATIVE
Phone:

Taxonomy:

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

Contacts:

Fax:
6623696473

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-24 Annual Report For Community Care Center of Aberdeen, LLC
Fictitious Name Registration Filed 2024-10-21 Fictitious Name Registration For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2024-04-09 Annual Report For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2023-04-12 Annual Report For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2022-04-11 Annual Report For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2021-04-05 Annual Report For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2020-03-26 Annual Report For Community Care Center of Aberdeen, LLC
Fictitious Name Registration Filed 2019-07-12 Fictitious Name Registration For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2019-04-11 Annual Report For Community Care Center of Aberdeen, LLC
Annual Report LLC Filed 2018-03-13 Annual Report For Community Care Center of Aberdeen, LLC

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
782036.00
Total Face Value Of Loan:
782036.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2002-07-23
Type:
Complaint
Address:
505 JACKSON STREET, ABERDEEN, MS, 39730
Safety Health:
Health
Scope:
Partial

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
782036
Current Approval Amount:
782036
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
787901.27

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Date of last update: 09 May 2025

Sources: Company Profile on Mississippi Secretary of State Website