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PARKVIEW HEALTHCARE, LLC

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Company Details

Name: PARKVIEW HEALTHCARE, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 05 Apr 2004 (21 years ago)
Authority Date: 05 Apr 2004 (21 years ago)
Last Annual Report: 22 Jun 2021 (4 years ago)
Organization Number: 0583051
Principal Office: 1040 CROWN POINTE PKWY STE 600, ATLANTA, GA 30338
Place of Formation: DELAWARE

Member

Name Role
CENTENNIAL HEALTHCARE HOLDING COMPANY, LLC Member

Organizer

Name Role
CENTENNIAL HEALTHCARE HOLDING COMPANY, LLC Organizer

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Unique Entity ID

CAGE Code:
58P46
UEI Expiration Date:
2016-12-21

Business Information

Doing Business As:
PARKVIEW NURSING AND REHABILITATION CENTER
Activation Date:
2015-12-22
Initial Registration Date:
2008-11-04

Commercial and government entity program

CAGE number:
58P46
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-05-30
CAGE Expiration:
2026-02-04

Contact Information

POC:
MICHELLE CONNALLY

National Provider Identifier

NPI Number:
1518905215
Certification Date:
2020-05-15

Authorized Person:

Name:
KENNETH USSERY
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Fax:
6066392936

Assumed Names

Name Status Expiration Date
PARKVIEW NURSING AND REHABILITATION CENTER Inactive 2014-04-22

Filings

Name File Date
Revocation of Certificate of Authority 2022-10-04
Annual Report 2021-06-22
Principal Office Address Change 2021-06-22
Annual Report 2020-05-28
Amended Assumed Name 2019-07-29

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24520D0067
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
2750000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-04-01
Description:
COMMUNITY NURSING HOME SERVICES FOR VETERAN BENEFICIARIES RESIDING IN THE HUNTINGTON WV CATCHMENT AREA OF PIKESVILLE KENTUCKY.
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA249BO0096C42488AB
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
238920.32
Base And Exercised Options Value:
238920.32
Base And All Options Value:
238920.32
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-10-01
Description:
IGF::OT::IGF EXPRESS REPORT NURSING HOME 1ST, AND 2ND QTR FISCAL YEAR FUNDING 2014
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24913J2202
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
169229.58
Base And Exercised Options Value:
169229.58
Base And All Options Value:
169229.58
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-07-01
Description:
EXPRESS REPORT-OTHER FUNCTIONS-POST FY13 4TH QUARTER 1358 CHARGES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Sources: Kentucky Secretary of State