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Faith Healthcare, Inc

Company Details

Name: Faith Healthcare, Inc
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 23 May 2014 (11 years ago)
Organization Date: 23 May 2014 (11 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Organization Number: 0888158
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42633
City: Monticello, Barrier, Bethesda, Betsey, Coopersville,...
Primary County: Wayne County
Principal Office: 126 FRANKLIN ROAD, MONTICELLO, KY 42633
Place of Formation: KENTUCKY

President

Name Role
Logan Antle President

Director

Name Role
Todd Seaver Director
Jonathan Grider Director
Cody Dishman Director
Adam Ellis Director
Julie Parent Director
Brent Robertson Director
Chelsey Staton Director
Shannon Thompson Director
Jennifer Tindall Director
Kristen Upchurch Director

Registered Agent

Name Role
Cory Ryan Registered Agent

Incorporator

Name Role
Todd Seaver Incorporator

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:
JNCTNTAXKLC8
CAGE Code:
8ELX5
UEI Expiration Date:
2025-04-25

Business Information

Division Name:
FAITH HEALTHCARE, INC.
Activation Date:
2024-05-06
Initial Registration Date:
2019-09-17

National Provider Identifier

NPI Number:
1790541431
Certification Date:
2024-02-21

Authorized Person:

Name:
LOGAN ROY ANTLE
Role:
CEO/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
NANCY FAMILY CARE Active 2029-11-12
SCIENCE HILL COMMUNITY CARE Active 2029-11-12
MOUNT VERNON COMMUNITY CARE Active 2029-11-12
FAITH DENTAL OF RUSSELL SPRINGS Active 2029-11-12
FAITH DENTAL OF SOMERSET Active 2029-11-12

Filings

Name File Date
Certificate of Assumed Name 2024-11-12
Certificate of Assumed Name 2024-11-12
Certificate of Assumed Name 2024-11-12
Certificate of Assumed Name 2024-11-12
Certificate of Assumed Name 2024-11-12

USAspending Awards / Financial Assistance

Date:
2023-08-28
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
14203.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
161298.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-07-09
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES
Obligated Amount:
496544.58
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
47-3595111
In Care Of Name:
% MICHAEL VAUGHT
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2015-06
National Taxonomy Of Exempt Entities:
Human Services: Centers to Support the Independence of Specific Populations
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Sources: Kentucky Secretary of State