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BEALL RECOVERY CLINICS, PLLC

Company Details

Name: BEALL RECOVERY CLINICS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Feb 2019 (6 years ago)
Organization Date: 26 Feb 2019 (6 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1049874
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40391
City: Winchester, Ford
Primary County: Clark County
Principal Office: 1145 W LEXINGTON AVE , STE C, WINCHESTER, KY 40391
Place of Formation: KENTUCKY

Registered Agent

Name Role
Tiffany M Osborne Registered Agent

Member

Name Role
Shane E. Beall Member
Tiffany M. Kembro Member

Organizer

Name Role
John-Paul Volk Organizer

National Provider Identifier

NPI Number:
1356997449
Certification Date:
2025-02-03

Authorized Person:

Name:
TIFFANY OSBORNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2083A0300X - Addiction Medicine (Preventive Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8593554058

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-02-15
Reinstatement Certificate of Existence 2022-02-10
Reinstatement 2022-02-10
Principal Office Address Change 2022-02-10

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2500.00
Total Face Value Of Loan:
6250.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2500
Current Approval Amount:
6250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
6287.85

Sources: Kentucky Secretary of State