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BLUEGRASS COMMUNITY LIVING, INC

Company Details

Name: BLUEGRASS COMMUNITY LIVING, INC
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Sep 2005 (20 years ago)
Organization Date: 30 Sep 2005 (20 years ago)
Last Annual Report: 07 Apr 2024 (a year ago)
Organization Number: 0622770
Industry: Personal Services
Number of Employees: Small (0-19)
ZIP code: 40324
City: Georgetown
Primary County: Scott County
Principal Office: 107 BROADBILL CT., GEORGETOWN, KY 40324
Place of Formation: KENTUCKY
Authorized Shares: 100

Vice President

Name Role
STEPHANIE M BAKER Vice President
BARBARA BAKER Vice President
Marvin BAKER, Jr. Vice President

Incorporator

Name Role
MARVIN BAKER Incorporator
NANCY L. BROYLES Incorporator

Registered Agent

Name Role
MARVIN BAKER Registered Agent

President

Name Role
MARVIN BAKER President

Secretary

Name Role
ANDREA BAKER Secretary
TSHIBANGU KABEYA Secretary

National Provider Identifier

NPI Number:
1184836272

Authorized Person:

Name:
MR. DERRAN C. BROYLES
Role:
CHIEF OF FINANCIAL AFFAIRS
Phone:

Taxonomy:

Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-04-07
Annual Report 2023-06-14
Annual Report 2022-06-30
Annual Report Amendment 2021-06-30
Annual Report 2021-06-22

Sources: Kentucky Secretary of State