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PINE MEADOWSIDENCE OPCO, LLC

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Company Details

Name: PINE MEADOWSIDENCE OPCO, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Feb 2014 (12 years ago)
Organization Date: 03 Feb 2014 (12 years ago)
Last Annual Report: 19 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 0878198
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 1608 HILL RISE DR, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

Organizer

Name Role
SKO-LOUISVILLE SERVICES, LLC Organizer

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Jason Murray Member
Mark Hancock Member

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
859-273-0271
Contact Person:
BETH AXLINE
User ID:
P0860940
Trade Name:
PINE MEADOWS POST ACUTE

Unique Entity ID

Unique Entity ID:
DNHTUA3C2D25
CAGE Code:
3S0J3
UEI Expiration Date:
2025-10-18

Business Information

Doing Business As:
PINE MEADOWS POST ACUTE
Activation Date:
2024-10-22
Initial Registration Date:
2007-04-30

Commercial and government entity program

CAGE number:
3S0J3
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:
1134545668
Certification Date:
2024-08-21

Authorized Person:

Name:
JOHN MITCHELL
Role:
SECRETARY
Phone:

Taxonomy:

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

Contacts:

Former Company Names

Name Action
PROVIDENCE HEALTHCARE OF PINE MEADOWS, LLC Old Name

Assumed Names

Name Status Expiration Date
PINE MEADOWS POST ACUTE Active 2026-05-04
PROVIDENCE PINE MEADOWS Inactive 2019-02-28

Filings

Name File Date
Annual Report 2024-06-19
Annual Report 2023-06-12
Annual Report 2022-06-21
Annual Report 2021-06-09
Registered Agent name/address change 2021-04-06

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24920K0486
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
95851.63
Base And Exercised Options Value:
95851.63
Base And All Options Value:
95851.63
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-07-01
Description:
EXPRESS REPORT: COMMUNITY NURSING HOME SERVICES REPORT OF FY20 4TH QUARTER EXPENDITURES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24920K0318
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
76814.61
Base And Exercised Options Value:
76814.61
Base And All Options Value:
76814.61
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-04-01
Description:
EXPRESS REPORT: CONTRACT NURSING HOME-REPORT EXPENSES FOR 3RD QUARTER FOR FY20
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24920K0208
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
249999.00
Base And Exercised Options Value:
249999.00
Base And All Options Value:
249999.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-01-01
Description:
EXPRESS REPORT: CONTRACT NURSING HOME-REPORT EXPENSES FOR 2ND QUARTER FOR FY20
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Court Cases

Court Case Summary

Filing Date:
2022-09-14
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Medical Malpractice

Parties

Party Name:
LANCASTER
Party Role:
Plaintiff
Party Name:
PINE MEADOWSIDENCE OPCO, LLC
Party Role:
Defendant
Party Role:
Plaintiff

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Sources: Kentucky Secretary of State