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HBR BARDWELL,LLC

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Company Details

Name: HBR BARDWELL,LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
File Date: 06 Jul 2006 (19 years ago)
Authority Date: 06 Jul 2006 (19 years ago)
Last Annual Report: 20 Jun 2023 (2 years ago)
Organization Number: 0642227
Principal Office: 101 EAST STATE ST, KENNETT SQUARE, PA 19348
Place of Formation: DELAWARE

Organizer

Name Role
WILLIAM H. STEPHAN Organizer

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Member

Name Role
HBR Kentucky, LLC Member

Unique Entity ID

CAGE Code:
78NG4
UEI Expiration Date:
2015-11-19

Business Information

Doing Business As:
COUNTRYSIDE CARE AND REHABILITATION CENTER
Activation Date:
2014-11-26
Initial Registration Date:
2014-11-19

Commercial and government entity program

CAGE number:
78NG4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-05-30

Contact Information

POC:
SHIRELL THOMAS

National Provider Identifier

NPI Number:
1851402093

Authorized Person:

Name:
WILLIAM A MATHIES
Role:
PRESIDENT DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5054684681
Fax:
2706280311

Assumed Names

Name Status Expiration Date
EDMONSON CENTER Inactive 2018-02-11
COUNTRYSIDE CENTER Inactive 2018-02-11
COUNTRYSIDE CARE AND REHABILITATION CENTER Inactive 2013-10-21
COUNTRYSIDE HEALTH CARE REHABILITATION AND NURSING CENTER Inactive 2011-09-12

Filings

Name File Date
Certificate of Withdrawal 2024-01-14
Annual Report 2023-06-20
Annual Report 2022-05-23
Annual Report 2021-05-18
Annual Report 2020-05-06

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Sources: Kentucky Secretary of State