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PATIENT CENTERED CARE OF KENTUCKY, LLC

Company Details

Name: PATIENT CENTERED CARE OF KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Dec 2012 (12 years ago)
Organization Date: 06 Dec 2012 (12 years ago)
Last Annual Report: 23 May 2024 (a year ago)
Managed By: Members
Organization Number: 0844165
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 175 MARY LEE STREET, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

Member

Name Role
VANESSA JANE SHANK Member
FAIZ UDDIN Member

Organizer

Name Role
FAIZ UDDIN Organizer

Registered Agent

Name Role
FAIZ UDDIN 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:
M5HRAVZ7F5L5
CAGE Code:
8SM76
UEI Expiration Date:
2021-11-12

Business Information

Activation Date:
2020-11-19
Initial Registration Date:
2020-11-12

National Provider Identifier

NPI Number:
1720520703

Authorized Person:

Name:
DR. FAIZ UDDIN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
461786745
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-05-23
Annual Report 2023-03-31
Annual Report 2022-03-06
Annual Report 2021-04-07
Annual Report 2020-06-02

Paycheck Protection Program

Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
51101.42
Current Approval Amount:
51101.42
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
51337.05

Sources: Kentucky Secretary of State