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NEW JEFFERSON MANOR, LLC

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Company Details

Name: NEW JEFFERSON MANOR, 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 Sep 2019 (6 years ago)
Organization Number: 0616140
Principal Office: 2807 ALLEN STREET #834, DALLAS, TX 75204
Place of Formation: DELAWARE

Manager

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

Organizer

Name Role
EPI HEALTHCARE, LLC Organizer

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

National Provider Identifier

NPI Number:
1295724086

Authorized Person:

Name:
MR. JIM MORRIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5024267041

Assumed Names

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

Filings

Name File Date
App. for Certificate of Withdrawal 2019-09-16
Annual Report 2019-09-12
Annual Report 2018-06-12
Renewal of Assumed Name Return 2017-07-27
Annual Report 2017-05-25

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Sources: Kentucky Secretary of State