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SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

Company Details

Name: SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 Feb 2008 (17 years ago)
Organization Date: 08 Feb 2008 (17 years ago)
Last Annual Report: 21 Feb 2025 (3 months ago)
Organization Number: 0685190
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40212
City: Louisville
Primary County: Jefferson County
Principal Office: 234 AMY AVENUE, LOUISVILLE, KY 40212
Place of Formation: KENTUCKY

Director

Name Role
DAVID A DAGEFORDE Director
MONICA BROWN Director
CHAD REHNBERG Director
PHYLLIS PLATT Director
Jennifer Miles Director
CHRISTOPHER REDHAGE Director
C L JORDAN Director
Sharon Elsesser Director
Deloris White Director
Sharon Bond Director

Incorporator

Name Role
D RANDALL GIBSON Incorporator

Vice President

Name Role
Frances Loueva Moss Vice President

President

Name Role
Leigh Mayes President

Secretary

Name Role
Marcia Liggin Secretary

Officer

Name Role
Kirstie Matzek Officer

Registered Agent

Name Role
SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. Registered Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
M7JBX3QK5WJ7
CAGE Code:
64KC0
UEI Expiration Date:
2026-01-09

Business Information

Division Name:
SHAWNEE CHRISTIAN HEALTHCARE CENTER
Activation Date:
2025-01-13
Initial Registration Date:
2010-09-08

National Provider Identifier

NPI Number:
1003407719
Certification Date:
2022-01-13

Authorized Person:

Name:
MR. ERNEST WARDLAW
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5027761133
Fax:
5028854484

Form 5500 Series

Employer Identification Number (EIN):
264345390
Plan Year:
2023
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
42
Sponsors Telephone Number:

Former Company Names

Name Action
NEIGHBORHOOD CHRISTIAN HEALTHCARE MINISTRIES, INC Old Name

Filings

Name File Date
Annual Report Amendment 2025-02-21
Annual Report 2025-02-20
Annual Report 2024-05-03
Annual Report 2023-05-17
Annual Report 2022-04-04

USAspending Awards / Financial Assistance

Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
13407.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-10
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION
Obligated Amount:
821228.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
110259.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-04-28
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)
Obligated Amount:
400000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-11-16
Awarding Agency Name:
Federal Communications Commission
Transaction Description:
TELEHEALTH FOR SHAWNEE CHRISTIAN HEALTHCARE CENTER
Obligated Amount:
140882.15
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
26-4345390
In Care Of Name:
% DANA SCHULTZ
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2009-06
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
375000
Current Approval Amount:
375000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
378218.75

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2023-07-07 2024 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 12323.97

Sources: Kentucky Secretary of State