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HAZARD NURSING HOME, INC.

Company Details

Name: HAZARD NURSING HOME, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Dec 1974 (50 years ago)
Organization Date: 13 Dec 1974 (50 years ago)
Last Annual Report: 15 May 2024 (a year ago)
Organization Number: 0022362
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40702
City: Corbin
Primary County: Whitley County
Principal Office: 200 S. KENTUCKY STREET, P.O. BOX 1450, CORBIN, KY 40702
Place of Formation: KENTUCKY
Authorized Shares: 2000

Secretary

Name Role
David Witt Secretary
Jackie Willis Secretary

Treasurer

Name Role
Roger Alsip Treasurer

Director

Name Role
Wes Tipton Director
Roger Alsip Director
David Witt Director
HAROLD B. BARTON Director
TERRY E. FORCHT Director

Registered Agent

Name Role
CT CORPORATION SYSTEM Registered Agent

Incorporator

Name Role
HAROLD B. BARTON Incorporator
TERRY E. FORCHT Incorporator

President

Name Role
Wes Tipton President

National Provider Identifier

NPI Number:
1124121033

Authorized Person:

Name:
MR. TERRY EMANUEL FORCHT
Role:
CHAIRMAN
Phone:

Taxonomy:

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

Contacts:

Fax:
6064392275

Assumed Names

Name Status Expiration Date
HAZARD HEALTH & REHABILITATION OUTPATIENT CENTER Inactive 2024-08-05
HAZARD HEALTH & REHABILITATION CENTER Inactive 2020-09-17

Filings

Name File Date
Annual Report 2024-05-15
Certificate of Assumed Name 2024-02-20
Annual Report 2023-05-15
Annual Report 2022-05-31
Annual Report 2021-02-12

OSHA's Inspections within Industry

Inspection Summary

Date:
1991-10-14
Type:
Planned
Address:
AIRPORT ROAD, HAZARD, KY, 41701
Safety Health:
Safety
Scope:
Complete

Sources: Kentucky Secretary of State