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  5. HOMESTEADIDENCE OPCO, LLC

HOMESTEADIDENCE OPCO, LLC

Company Details

Name: HOMESTEADIDENCE OPCO, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Feb 2014 (11 years ago)
Organization Date: 03 Feb 2014 (11 years ago)
Last Annual Report: 19 Jun 2024 (10 months ago)
Managed By: Members
Organization Number: 0878197
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 1608 VERSAILLES RD, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
M2BYPLND4BH8 2024-11-08 1608 VERSAILLES RD, STE 320, LEXINGTON, KY, 40504, 2402, USA 1608 VERSAILLES RD, LEXINGTON, KY, 40504, 2402, USA

Business Information
Congressional District 06
State/Country of Incorporation KY, USA
Activation Date 2023-11-13
Initial Registration Date 2004-03-22
Entity Start Date 1971-02-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name BETH M AXLINE
Role REGIONAL AR MANAGER
Address 1608 VERSAILLES ROAD, LEXINGTON, KY, 40504, USA
Title ALTERNATE POC
Name MATT G ROBINSON
Role REGIONAL DIRECTOR OF OPERATION
Address PO BOX 468, BUCKNER, KY, 40010, USA
Government Business
Title PRIMARY POC
Name BETH M AXLINE
Role REGIONAL AR MANAGER
Address 1608 VERSAILLES ROAD, LEXINGTON, KY, 40504, USA
Title ALTERNATE POC
Name MATT G ROBINSON
Role REGIONAL DIRECTOR OF OPERATION
Address PO BOX 468, BUCKNER, KY, 40010, USA
Past Performance
Title PRIMARY POC
Name MATT G ROBINSON
Role REGIONAL DIRECTOR OF OPERATION
Address PO BOX 468, BUCKNER, KY, 40010, USA
Title ALTERNATE POC
Name MATT G ROBINSON
Role REGIONAL DIRECTOR OF OPERATION
Address PO BOX 468, BUCKNER, KY, 40010, USA

Organizer

Name Role
SKO-LOUISVILLE SERVICES, LLC Organizer

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Jason Murray Member
Mark Hancock Member

Former Company Names

Name Action
PROVIDENCE HEALTHCARE OF HOMESTEAD, LLC Old Name

Assumed Names

Name Status Expiration Date
HOMESTEAD POST ACUTE Active 2026-05-04
PROVIDENCE HOMESTEAD Inactive 2019-02-28

Filings

Name File Date
Annual Report 2024-06-19
Annual Report 2023-06-12
Annual Report 2022-06-21
Annual Report 2021-06-09
Registered Agent name/address change 2021-04-06
Name Renewal 2021-04-05
Annual Report 2020-06-02
Annual Report 2019-05-14
Annual Report 2018-05-03
Principal Office Address Change 2018-05-03

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24924K0319 2024-06-01 2024-06-30 2024-06-30
Unique Award Key CONT_AWD_36C24924K0319_3600_36C24923D0084_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 92038.58
Current Award Amount 92038.58
Potential Award Amount 92038.58

Description
Title EXPRESS REPORT: FY24 JULY EXPRESS REPORT
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 HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Recipient Address UNITED STATES, 1608 VERSAILLES RD, STE 320, LEXINGTON, FAYETTE, KENTUCKY, 405042402
DELIVERY ORDER AWARD 36C24924K0256 2024-05-01 2024-05-31 2024-05-31
Unique Award Key CONT_AWD_36C24924K0256_3600_36C24923D0084_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 103746.27
Current Award Amount 103746.27
Potential Award Amount 103746.27

Description
Title EXPRESS REPORT: FY24 JUNE EXPENSE REPORT
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 HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Recipient Address UNITED STATES, 1608 VERSAILLES RD, STE 320, LEXINGTON, FAYETTE, KENTUCKY, 405042402
DELIVERY ORDER AWARD 36C24924K0227 2024-04-01 2024-04-30 2024-04-30
Unique Award Key CONT_AWD_36C24924K0227_3600_36C24923D0084_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 96040.22
Current Award Amount 96040.22
Potential Award Amount 96040.22

Description
Title EXPRESS REPORT: FY24 EXPENSE REPORT
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Recipient Address UNITED STATES, 1608 VERSAILLES RD, STE 320, LEXINGTON, FAYETTE, KENTUCKY, 405042402
DELIVERY ORDER AWARD 36C24924K0154 2024-03-01 2024-03-31 2024-03-31
Unique Award Key CONT_AWD_36C24924K0154_3600_36C24923D0084_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 102572.85
Current Award Amount 102572.85
Potential Award Amount 102572.85

Description
Title EXPRESS REPORT: FY24 APRIL NURSING HOME EXPENSE REPORT
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Recipient Address UNITED STATES, 1608 VERSAILLES RD, STE 320, LEXINGTON, FAYETTE, KENTUCKY, 405042402
DO AWARD VA249BO0067C00001AB 2009-10-01 2010-03-31 2010-03-31
Unique Award Key CONT_AWD_VA249BO0067C00001AB_3600_VA249BO0067_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title COMMUNITY NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
DO AWARD V249BO0067C06109ABCD 2009-10-01 2010-09-30 2013-09-30
Unique Award Key CONT_AWD_V249BO0067C06109ABCD_3600_VA249BO0067_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title COMMUNITY NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
DO AWARD VA249BO0067C95912ABCD 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA249BO0067C95912ABCD_3600_VA249BO0067_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
No data IDV VA249BO0067 2008-07-01 No data No data
Unique Award Key CONT_IDV_VA249BO0067_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title COMMUNITY NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
DO AWARD V249P0332C89010D 2008-07-01 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_V249P0332C89010D_3600_V249P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
DO AWARD V249P0332C89010C 2008-04-01 2008-06-30 2008-06-30
Unique Award Key CONT_AWD_V249P0332C89010C_3600_V249P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
Unique Award Key CONT_AWD_V249P0332C89010B_3600_V249P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES
Unique Award Key CONT_AWD_V249P0332C89010A_3600_V249P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient HOMESTEADIDENCE OPCO LLC
UEI M2BYPLND4BH8
Legacy DUNS 077860906
Recipient Address 1608 VERSAILLES RD, LEXINGTON, 405042402, UNITED STATES

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P0563483 HOMESTEADIDENCE OPCO LLC - M2BYPLND4BH8 1608 VERSAILLES RD, STE 320, LEXINGTON, KY, 40504-2402
Capabilities Statement Link -
Phone Number 859-254-2502
Fax Number 859-389-9571
E-mail Address beth.axline@providencegrouphc.com
WWW Page -
E-Commerce Website -
Contact Person BETH AXLINE
County Code (3 digit) 067
Congressional District 06
Metropolitan Statistical Area 4280
CAGE Code 3S3K8
Year Established 1971
Accepts Government Credit Card No
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office KENTUCKY DISTRICT OFFICE (SBA office code 0457)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
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)
Buy Green 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)

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Jason Murray

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Mark Hancock

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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