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  5. RICHWOODIDENCE OPCO, LLC

RICHWOODIDENCE OPCO, LLC

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Company Details

Name: RICHWOODIDENCE OPCO, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Feb 2014 (11 years ago)
Organization Date: 03 Feb 2014 (11 years ago)
Last Annual Report: 19 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 0878196
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40031
City: La Grange, Lagrange
Primary County: Oldham County
Principal Office: 1012 RICHWOOD WAY, LAGRANGE, KY 40031
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Jason Murray Member
Mark Hancock Member

Organizer

Name Role
SKO-LOUISVILLE SERVICES, LLC Organizer

U.S. Small Business Administration Profile

Phone Number:
502-222-3186
E-mail Address:
beth.axine@providencegrouphc.com
Contact Person:
BETH AXLINE
User ID:
P2005047

Unique Entity ID

Unique Entity ID:
KSW3R7T6PJC9
CAGE Code:
53MA8
UEI Expiration Date:
2025-10-18

Business Information

Activation Date:
2024-10-22
Initial Registration Date:
2016-01-15

Commercial and government entity program

CAGE number:
53MA8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-22
CAGE Expiration:
2029-10-22
SAM Expiration:
2025-10-18

Contact Information

POC:
BETH M. AXLINE

National Provider Identifier

NPI Number:
1326464843
Certification Date:
2024-08-21
Link:
View on NPI website

Authorized Person:

Name:
JOHN MITCHELL
Role:
SECRETARY
Phone:
3859883319

Taxonomy:

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

Contacts:

Phone:
+1 502-222-3186

Former Company Names

Name Action
PROVIDENCE HEALTHCARE OF RICHWOOD, LLC Old Name

Assumed Names

Name Status Expiration Date
THE OAKS ASSISTED LIVING Active 2029-02-21
RICHWOOD NURSING & REHAB Active 2026-05-04
PROVIDENCE RICHWOOD Inactive 2019-02-28

Filings

Name File Date
Annual Report 2024-06-19
Name Renewal 2024-02-21
Annual Report 2023-06-16
Annual Report 2022-06-21
Annual Report 2021-06-09

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24925K0208
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
7674.74
Base And Exercised Options Value:
7674.74
Base And All Options Value:
7674.74
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2025-03-01
Description:
EXPRESS REPORT:FY 25 NURSING HOME EXPENDITURE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24924K0351
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
103389.41
Base And Exercised Options Value:
103389.41
Base And All Options Value:
103389.41
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-06-01
Description:
EXPRESS REPORT:JULY NURSING HOME EXPENDITURE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24924K0309
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
106046.19
Base And Exercised Options Value:
106046.19
Base And All Options Value:
106046.19
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-05-01
Description:
EXPRESS REPORT:24 JUNE NURSING HOME EXPENDITURE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

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Jason Murray

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Mark Hancock

PROVIDENCE GROUP OF KENTUCKY, LLC HOMESTEADIDENCE OPCO, LLC PINE MEADOWSIDENCE OPCO, LLC NEW CASTLEIDENCE OPCO, LLC GALLATINIDENCE OPCO, LLC PROVIDENCE GROUP MANAGEMENT COMPANY, LLC Mark Hancock Trucking, LLC LOUISVILLE EAST POST ACUTE, LLC PROVIDENCE GROUP OF KENTUCKIANA, LLC PROVIDENCE INDIUCKY, LLC

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Sources: Kentucky Secretary of State

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