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RESTORE HEALTH KY, INC.

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Company Details

Name: RESTORE HEALTH KY, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jan 2020 (5 years ago)
Organization Date: 01 Jan 2020 (5 years ago)
Last Annual Report: 08 Apr 2022 (3 years ago)
Organization Number: 1080357
ZIP code: 40507
City: Lexington
Primary County: Fayette County
Principal Office: 252 EAST HIGH STREET , SUITE 3, LEXINGTON, KY 40507
Place of Formation: KENTUCKY
Authorized Shares: 1000

COO

Name Role
Lauren Rodriguez COO

Registered Agent

Name Role
LAUREN RODRIGUEZ Registered Agent

Incorporator

Name Role
SHANNON ERB Incorporator

National Provider Identifier

NPI Number:
1235777533
Certification Date:
2021-02-21

Authorized Person:

Name:
JOY ROBOSA IMPERIAL-STEINER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-04-08
Registered Agent name/address change 2022-01-28
Reinstatement 2021-12-14
Reinstatement Certificate of Existence 2021-12-14

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Sources: Kentucky Secretary of State