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NORTHERN KENTUCKY CENTER FOR PAIN RELIEF, LLC

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Company Details

Name: NORTHERN KENTUCKY CENTER FOR PAIN RELIEF, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 08 Oct 2009 (16 years ago)
Organization Date: 08 Oct 2009 (16 years ago)
Last Annual Report: 03 May 2023 (2 years ago)
Managed By: Members
Organization Number: 0745311
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 8780 US HWY 42, FLORENCE, KY 41042
Place of Formation: KENTUCKY

Registered Agent

Name Role
TIMOTHY D EHN Registered Agent

Member

Name Role
Timothy Dennis Ehn Member

Organizer

Name Role
TANYA THOMPSON-EHN Organizer
TIMOTHY D. EHN Organizer

National Provider Identifier

NPI Number:
1548597016
Certification Date:
2022-02-07

Authorized Person:

Name:
VICKI SEBASTIAN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8592920131

Form 5500 Series

Employer Identification Number (EIN):
271089182
Plan Year:
2019
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
NORTHERN KENTUCKY CENTER FOR HEALTH & WELLNESS Active 2027-06-30

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-05-03
Certificate of Assumed Name 2022-06-30
Annual Report 2022-03-09
Annual Report 2021-02-10

USAspending Awards / Financial Assistance

Date:
2020-07-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
293117.50
Total Face Value Of Loan:
293117.50

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
293117.5
Current Approval Amount:
293117.5
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
297302.57

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Sources: Kentucky Secretary of State