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NORTHERN KENTUCKY BEHAVIORAL, LLC

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Company Details

Name: NORTHERN KENTUCKY BEHAVIORAL, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Feb 2015 (11 years ago)
Authority Date: 25 Feb 2015 (11 years ago)
Last Annual Report: 24 Feb 2025 (6 months ago)
Organization Number: 0915167
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 41018
City: Erlanger, Covington, Edgewood, Elsmere
Primary County: Kenton County
Principal Office: 820 DOLWICK DRIVE, ERLANGER, KY 41018
Place of Formation: DELAWARE

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

Member

Name Role
Christina Parks Member

Unique Entity ID

Unique Entity ID:
W6U1V1DLD5F6
CAGE Code:
8SME1
UEI Expiration Date:
2026-03-14

Business Information

Doing Business As:
NORTHERN KENTUCKY BEHAVIORAL LLC
Division Name:
NORTHERN KENTUCKY BEHAVIORAL LLC
Activation Date:
2025-03-18
Initial Registration Date:
2020-07-09

Commercial and government entity program

CAGE number:
8SME1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-18
CAGE Expiration:
2030-03-18
SAM Expiration:
2026-03-14

Contact Information

POC:
THOMAS J. SHEEHAN

National Provider Identifier

NPI Number:
1245978089
Certification Date:
2023-09-08

Authorized Person:

Name:
TOM E ROURKE
Role:
SENIOR VICE PRESIDENT CORPORATE DEV
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
283Q00000X - Psychiatric Hospital
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7327471818

Assumed Names

Name Status Expiration Date
SUN BEHAVIORAL HEALTH Inactive 2023-02-21

Filings

Name File Date
Annual Report 2025-02-24
Certificate of Assumed Name 2024-06-26
Annual Report 2024-05-13
Annual Report 2023-05-02
Annual Report 2022-05-17

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Sources: Kentucky Secretary of State