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PALLIATIVE CARE CENTER OF THE BLUEGRASS, INC.

Company Details

Name: PALLIATIVE CARE CENTER OF THE BLUEGRASS, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 18 Dec 1998 (26 years ago)
Organization Date: 18 Dec 1998 (26 years ago)
Last Annual Report: 01 Apr 2024 (a year ago)
Organization Number: 0460992
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 1733 HARRODSBURG ROAD, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

Treasurer

Name Role
Holly Hodge Treasurer

Officer

Name Role
Amanda Henson Officer

Director

Name Role
GRETCHEN BROWN Director
Elizabeth D Fowler Director
Amanda Henson Director
Todd R Cote Director
Laura Boison Director
James Borders Director
Maria Braman Director
Holly Hodge Director
SUSAN SWINFORD Director
TERRY GUTGSELL Director

Registered Agent

Name Role
ELIZABETH D. FOWLER Registered Agent

President

Name Role
Elizabeth D Fowler President

Incorporator

Name Role
GRETCHEN BROWN Incorporator

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.

Unique Entity ID:
YKSUARQ2MHV6
CAGE Code:
9EV71
UEI Expiration Date:
2025-09-04

Business Information

Doing Business As:
BLUEGRASS PALLIATIVE CARE, INC
Activation Date:
2024-09-04
Initial Registration Date:
2022-11-08

National Provider Identifier

NPI Number:
1427129188
Certification Date:
2023-08-15

Authorized Person:

Name:
ELIZABETH FOWLER
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2081H0002X - Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
364SA2100X - Acute Care Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
364SP0200X - Pediatric Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8592787690

Assumed Names

Name Status Expiration Date
BLUEGRASS DEMENTIA CARE Active 2029-08-26
BLUEGRASS HOME PRIMARY CARE Active 2027-03-29
BLUEGRASS PALLIATIVE CARE Active 2025-11-10
BRIGHT PATH Active 2025-11-10

Filings

Name File Date
Certificate of Assumed Name 2024-08-26
Annual Report 2024-04-01
Annual Report 2023-03-21
Annual Report 2022-03-29
Certificate of Assumed Name 2022-03-29

Sources: Kentucky Secretary of State