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FAIR OAKS HEALTH SYSTEMS, LLC

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Company Details

Name: FAIR OAKS HEALTH SYSTEMS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 28 Jan 1999 (26 years ago)
Organization Date: 28 Jan 1999 (26 years ago)
Last Annual Report: 13 Feb 2020 (5 years ago)
Managed By: Members
Organization Number: 0468478
ZIP code: 42629
City: Jamestown, Bryan, Creelsboro, Rowena, Sewellton
Primary County: Russell County
Principal Office: 1 SPARKS AVENUE, JAMESTOWN, KY 42629
Place of Formation: KENTUCKY

Registered Agent

Name Role
CHRIS MINNICH Registered Agent

Member

Name Role
Greg Faulkner Member
Chris Minnich Member

Organizer

Name Role
CLAYTON R. HUME Organizer

National Provider Identifier

NPI Number:
1689675548

Authorized Person:

Name:
MR. CHRIS MINNICH
Role:
ADMINISTRATOR OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2703432080

Form 5500 Series

Employer Identification Number (EIN):
611341439
Plan Year:
2011
Number Of Participants:
117
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
97
Sponsors Telephone Number:

Former Company Names

Name Action
FAIR OAKS HEALTH SYSTEM, LLC Old Name

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-02-13
Annual Report 2019-04-30
Annual Report 2018-04-11
Registered Agent name/address change 2018-04-11

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Sources: Kentucky Secretary of State