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COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.

Company Details

Name: COMMONWEALTH REGIONAL SPECIALTY HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 12 Dec 2003 (21 years ago)
Organization Date: 12 Dec 2003 (21 years ago)
Last Annual Report: 21 Jun 2024 (a year ago)
Organization Number: 0574065
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42101
City: Bowling Green, Hadley, Plum Springs, Richardsville
Primary County: Warren County
Principal Office: 800 PARK STREET, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY

Officer

Name Role
Michele Lawless Officer
Wade Stone Officer
David Gray Officer
Katrina Wood Officer

President

Name Role
Connie Smith President

Registered Agent

Name Role
TAMMY MEADE ENSSLIN Registered Agent

Director

Name Role
Tommy Holderfield Director
Joe Davis Director
Vickie Elrod Director
Tom Forte Director
Cheri Natcher Director
Susan Jones Director
Brad Morris Director
FLOYD H. ELLIS Director
TOMMY HOLDERFIELD Director
DONNA WHITE Director

Incorporator

Name Role
MURRAY A. RAINES 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:
QF5ZS34ZHKF9
CAGE Code:
916D0
UEI Expiration Date:
2024-03-15

Business Information

Activation Date:
2023-03-20
Initial Registration Date:
2021-03-16

National Provider Identifier

NPI Number:
1790715985
Certification Date:
2023-01-11

Authorized Person:

Name:
MICHELE W LAWLESS
Role:
EXECUTIVE VICE PRESIDENT/CFO
Phone:

Taxonomy:

Selected Taxonomy:
282E00000X - Long Term Care Hospital
Is Primary:
Yes

Contacts:

Fax:
2707966275

Filings

Name File Date
Registered Agent name/address change 2025-04-04
Registered Agent name/address change 2024-12-09
Annual Report 2024-06-21
Annual Report 2023-06-02
Annual Report 2022-06-27

Tax Exempt

Employer Identification Number (EIN) :
54-2142034
In Care Of Name:
% JENNY GREENWELL
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2004-07
National Taxonomy Of Exempt Entities:
Health Care: Hospital, Specialty
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State