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NEW JEFFERSON PLACE, LLC

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Company Details

Name: NEW JEFFERSON PLACE, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Jun 2005 (20 years ago)
Authority Date: 24 Jun 2005 (20 years ago)
Last Annual Report: 12 Jun 2018 (7 years ago)
Organization Number: 0616136
Principal Office: 2807 ALLEN STREET, #834, DALLAS, TX 75204
Place of Formation: DELAWARE

Organizer

Name Role
EPI HEALTHCARE, LLC Organizer

Manager

Name Role
W. Patrick Mulloy Manager
Robin L. Barber Manager
J. Timothy Wesley Manager

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

National Provider Identifier

NPI Number:
1831188515

Authorized Person:

Name:
MR. TIM TRAVIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5024293193

Assumed Names

Name Status Expiration Date
JEFFERSON PLEACE HEALTH & REHABILITATION CENTER Inactive 2018-01-23
JEFFERSON PLACE Inactive 2015-07-11

Filings

Name File Date
App. for Certificate of Withdrawal 2019-03-06
Annual Report 2018-06-12
Renewal of Assumed Name Return 2017-07-27
Annual Report 2017-05-25
Principal Office Address Change 2016-03-30

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Sources: Kentucky Secretary of State