Search icon

GENOA HEALTHCARE OF KENTUCKY, LLC

Company Details

Name: GENOA HEALTHCARE OF KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Sep 2005 (20 years ago)
Organization Date: 08 Sep 2005 (20 years ago)
Last Annual Report: 05 May 2017 (8 years ago)
Managed By: Members
Organization Number: 0621231
Principal Office: 18300 CASCADE AVENUE SOUTH, SUITE 251, TUKWILA, WA 98188
Place of Formation: KENTUCKY

Organizer

Name Role
ROGER L. MEYER Organizer

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Manager

Name Role
Victor Breed Manager
David Vucurevich Manager
John Figueroa Manager
Makenzie Zuern Manager
Mark James Peterson Manager

National Provider Identifier

NPI Number:
1295928349

Authorized Person:

Name:
DENISE JASON
Role:
CONTRACTS ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2018-03-26
Registered Agent name/address change 2017-07-20
Annual Report 2017-05-05
Annual Report 2016-05-03
Annual Report 2015-05-04

Sources: Kentucky Secretary of State