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NEW AGE VITALITY CLINIC LLC

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Company Details

Name: NEW AGE VITALITY CLINIC LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Jan 2014 (11 years ago)
Organization Date: 22 Jan 2014 (11 years ago)
Last Annual Report: 12 May 2024 (a year ago)
Managed By: Members
Organization Number: 0877197
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 41240
City: Paintsville, Nippa, Offutt, Swamp Branch, Thealka, Wh...
Primary County: Johnson County
Principal Office: 309 BROADWAY ST, PAINTSVILLE, KY 41240
Place of Formation: KENTUCKY

Registered Agent

Name Role
CHAMBERS, CPA LLC Registered Agent

Organizer

Name Role
KRISTY WIREMAN Organizer

Member

Name Role
KRISTY WIREMAN Member
William Moran Member
Mike Bregenzer Member

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.

CAGE Code:
7USN1
UEI Expiration Date:
2018-04-19

Business Information

Activation Date:
2017-04-21
Initial Registration Date:
2017-04-19

National Provider Identifier

NPI Number:
1700251626

Authorized Person:

Name:
KRISTY WIREMAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6067898893

Filings

Name File Date
Annual Report 2024-05-12
Annual Report 2023-01-17
Annual Report 2022-03-07
Annual Report 2021-03-02
Sixty Day Notice Return 2020-08-24

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Sources: Kentucky Secretary of State