Search icon

1025 Health, LLC

Company Details

Name: 1025 Health, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Jul 2020 (5 years ago)
Organization Date: 16 Jul 2020 (5 years ago)
Last Annual Report: 17 Oct 2021 (4 years ago)
Managed By: Members
Organization Number: 1104270
ZIP code: 42519
City: Burnside, Sloans Valley
Primary County: Pulaski County
Principal Office: 8059 S Highway 27, Burnside, KY 42519
Place of Formation: KENTUCKY

Registered Agent

Name Role
JADE ANN JOHNSON Registered Agent
Jade Ann Johnson Registered Agent

Organizer

Name Role
Jade Ann Johnson Organizer

National Provider Identifier

NPI Number:
1891303368
Certification Date:
2020-07-21

Authorized Person:

Name:
MR. ROBERT JOHNSON
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
Oasis at Lakeshore Active 2027-01-26

Filings

Name File Date
Administrative Dissolution 2022-10-04
Certificate of Assumed Name 2022-01-26
Annual Report 2021-10-17
Registered Agent name/address change 2021-10-17
Principal Office Address Change 2021-10-17

Sources: Kentucky Secretary of State