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Island Medical Henderson, LLC

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Company Details

Name: Island Medical Henderson, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 16 Jun 2017 (8 years ago)
Organization Date: 16 Jun 2017 (8 years ago)
Last Annual Report: 19 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0988568
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 4535 DRESSLER ROAD NW, CANTON, OH 44718
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
4M Acquisition, LLC Member

Organizer

Name Role
Meredith Martin Organizer

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:
NLUKKACQ2443
CAGE Code:
92KQ7
UEI Expiration Date:
2022-07-24

Business Information

Division Name:
ALTEON HEALTH
Division Number:
ALTEON HEA
Activation Date:
2021-06-28
Initial Registration Date:
2021-06-24

National Provider Identifier

NPI Number:
1619490778
Certification Date:
2020-06-03

Authorized Person:

Name:
MS. MICHAELAMY CHARLEY
Role:
CHIEF LEGAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2025-02-19
Annual Report 2024-03-26
Annual Report 2023-05-24
Annual Report 2022-03-07
Principal Office Address Change 2022-03-07

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Sources: Kentucky Secretary of State