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Medical Plus Support LLC

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Company Details

Name: Medical Plus Support LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Apr 2020 (5 years ago)
Organization Date: 22 Apr 2020 (5 years ago)
Authority Date: 23 Apr 2020 (5 years ago)
Branch of: Medical Plus Support LLC, COLORADO (Company Number 20181469875)
Organization Number: 1094456
ZIP code: 40160
City: Radcliff
Primary County: Hardin County
Principal Office: 663 N Dixie Blvd Ste J, Radcliff, KY 40160
Place of Formation: COLORADO

Authorized Rep

Name Role
Pedro Reyes Authorized Rep

Registered Agent

Name Role
Pedro Reyes Registered Agent
KY SECRETARY OF STATE Registered Agent

National Provider Identifier

NPI Number:
1790278885
Certification Date:
2020-05-29

Authorized Person:

Name:
PEDRO REYES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5023785494

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 264574 Home Medical Equipment and Services Provider Expired 2020-08-05 - - 2022-09-30 663 N Dixie Blvd, Ste J, Radcliff, KY 40160

Filings

Name File Date
App. for Certificate of Withdrawal 2021-01-15

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Sources: Kentucky Secretary of State