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  5. Shady Lawn OpCo, LLC

Shady Lawn OpCo, LLC

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Company Details

Name: Shady Lawn OpCo, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Apr 2018 (7 years ago)
Organization Date: 27 Apr 2018 (7 years ago)
Last Annual Report: 13 Mar 2025 (4 months ago)
Managed By: Managers
Organization Number: 1019330
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42211
City: Cadiz, Canton, Golden Pond
Primary County: Trigg County
Principal Office: 2582 CERULEAN ROAD, CADIZ, KY 42211
Place of Formation: KENTUCKY

Member

Name Role
MOSHE KELMAN Member

Manager

Name Role
MOSHE KELMAN Manager

Registered Agent

Name Role
PLATINUM FILINGS LLC Registered Agent

U.S. Small Business Administration Profile

Website:
www.shadylawnnursingandrehab.com
Phone Number:
270-522-3236
E-mail Address:
dana.radford@shadylawnnursingandrehab.com
Fax Number:
270-522-0825
Contact Person:
DANA RADFORD
User ID:
P2369029
Trade Name:
SHADY LAWN NURSING AND REHABILITATION CENTER

Unique Entity ID

Unique Entity ID:
W4WAEGVDL9T7
CAGE Code:
89V74
UEI Expiration Date:
2025-12-26

Business Information

Doing Business As:
SHADY LAWN NURSING AND REHABILITATION CENTER
URL:
www.shadylawnnursingandrehab.com
Activation Date:
2024-12-27
Initial Registration Date:
2019-03-22

National Provider Identifier

NPI Number:
1720563034
Certification Date:
2022-09-01
Link:
View on NPI website

Authorized Person:

Name:
MOSHE KELMAN
Role:
MANAGING MEMBER
Phone:
2705223236

Taxonomy:

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

Contacts:

Phone:
+1 270-522-3236
Fax:
2705220825

Form 5500 Series

Employer Identification Number (EIN):
831248979
Plan Year:
2024
Number Of Participants:
35
Sponsors Telephone Number:
2705223236
File:
View File
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
2705223236
File:
View File
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
2705223236
File:
View File
Plan Year:
2021
Number Of Participants:
51
Sponsors Telephone Number:
2705223236
File:
View File
Plan Year:
2020
Number Of Participants:
30
Sponsors Telephone Number:
2705223236
File:
View File

Assumed Names

Name Status Expiration Date
SHADY LAWN NURSING AND REHABILITATION CENTER Inactive 2023-09-04

Filings

Name File Date
Annual Report 2025-03-13
Registered Agent name/address change 2024-11-14
Annual Report 2024-06-03
Certificate of Assumed Name 2023-10-10
Annual Report 2023-03-22

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24923K0033
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
32520.78
Base And Exercised Options Value:
32520.78
Base And All Options Value:
32520.78
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-10-01
Description:
EXPRESS REPORT: COMMUNITY NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24923K0022
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
137749.48
Base And Exercised Options Value:
137749.48
Base And All Options Value:
137749.48
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-04-01
Description:
EXPRESS REPORT: 3RD AND 4TH QUARTER
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24922K0098
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
16717.95
Base And Exercised Options Value:
16717.95
Base And All Options Value:
16717.95
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2022-01-01
Description:
EXPRESS REPORT: CONTRACT NURSING HOME-REPORT EXPENSES FOR 2ND QTR. FY22.
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-08-19 2025 Health & Family Services Cabinet Office Of Inspector General Misc Commodities & Other Exp Other 1500

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MOSHE KELMAN

Woodcrest Operating Company, LLC Henderson OpCo, LLC Bowling Green Health Center, LLC Brandenburg OpCo, LLC Elizabethtown OpCo, LLC Fordsville OpCo, LLC Franklin Health Center, LLC Hardinsburg Health Center, LLC Campbellsville Operating Company, LLC Morganfield OpCo, LLC

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No related companies by address

Sources: Kentucky Secretary of State

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