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  5. HOMETOWN VETERANS MEDICAL, LLC

HOMETOWN VETERANS MEDICAL, LLC

Headquarter

Company Details

Name: HOMETOWN VETERANS MEDICAL, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Oct 2021 (3 years ago)
Organization Date: 06 Oct 2021 (3 years ago)
Last Annual Report: 02 Jan 2024 (a year ago)
Managed By: Members
Organization Number: 1171711
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42653
City: Whitley City
Primary County: McCreary County
Principal Office: PO BOX 1176, WHITLEY CITY, KY 42653-0000
Place of Formation: KENTUCKY

Links between entities

Type Company Name Company Number State
Headquarter of HOMETOWN VETERANS MEDICAL, LLC, ILLINOIS LLC_13905002 ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZZ2QXY53NL71 2025-04-25 39 S MAIN ST STE 2, WHITLEY CITY, KY, 42653, 6020, USA PO BOX 1176, WHITLEY CITY, KY, 42653, 1176, USA

Business Information
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2024-04-29
Initial Registration Date 2021-10-27
Entity Start Date 2021-10-06
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 532283, 621610
Product and Service Codes W065

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JACKSON L BALL
Role PRESIDENT
Address PO BOX 1176, WHITLEY CITY, KY, 42653, USA
Government Business
Title PRIMARY POC
Name JACKSON L BALL
Role PRESIDENT
Address PO BOX 1176, WHITLEY CITY, KY, 42653, USA
Past Performance Information not Available

Registered Agent

Name Role
JACKSON BALL Registered Agent

Member

Name Role
Jackson Ball Member

Organizer

Name Role
JACKSON BALL Organizer

Filings

Name File Date
Annual Report 2024-01-02
Registered Agent name/address change 2023-12-18
Principal Office Address Change 2023-12-18
Annual Report 2023-04-26
Annual Report 2022-05-18
Registered Agent name/address change 2021-12-06
Articles of Organization (LLC) 2021-10-06

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24724K0145 2024-08-01 2024-08-31 2024-08-31
Unique Award Key CONT_AWD_36C24724K0145_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 190098.80
Current Award Amount 190098.80
Potential Award Amount 190098.80

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF AUGUST 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0144 2024-07-01 2024-07-31 2024-07-31
Unique Award Key CONT_AWD_36C24724K0144_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 185350.69
Current Award Amount 185350.69
Potential Award Amount 185350.69

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF JULY 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0114 2024-06-01 2024-06-30 2024-06-30
Unique Award Key CONT_AWD_36C24724K0114_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 186153.66
Current Award Amount 186153.66
Potential Award Amount 186153.66

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF JUNE 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0113 2024-05-01 2024-05-31 2024-05-31
Unique Award Key CONT_AWD_36C24724K0113_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 191582.10
Current Award Amount 191582.10
Potential Award Amount 191582.10

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF MAY 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0112 2024-04-01 2024-04-30 2024-04-30
Unique Award Key CONT_AWD_36C24724K0112_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 182089.58
Current Award Amount 182089.58
Potential Award Amount 182089.58

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF APRIL 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0111 2024-03-01 2024-03-31 2024-03-31
Unique Award Key CONT_AWD_36C24724K0111_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 183026.16
Current Award Amount 183026.16
Potential Award Amount 183026.16

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF MARCH 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0110 2024-02-01 2024-02-29 2024-02-29
Unique Award Key CONT_AWD_36C24724K0110_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 183802.07
Current Award Amount 183802.07
Potential Award Amount 183802.07

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF FEBRUARY 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0109 2024-01-01 2024-01-31 2024-01-31
Unique Award Key CONT_AWD_36C24724K0109_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 191956.26
Current Award Amount 191956.26
Potential Award Amount 191956.26

Description
Title EXPRESS REPORT: HOME OXYGEN AND VENTILATOR SERVICES FOR MONTH OF JANUARY 2024
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
No data IDV 36C25523D0037 2023-08-14 No data No data
Unique Award Key CONT_IDV_36C25523D0037_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 114324635.52

Description
Title HOME OXYGEN
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes Q201: MEDICAL- MANAGED HEALTHCARE

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301
DELIVERY ORDER AWARD 36C24724K0030 2022-07-13 2023-12-31 2023-12-31
Unique Award Key CONT_AWD_36C24724K0030_3600_36C24722D0052_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 2201560.78
Current Award Amount 2201560.78
Potential Award Amount 2201560.78

Description
Title EXPRESS REPORT: AUGUSTA HOME OXYGEN SERVICES FROM JULY 13, 2022 TO DECEMBER 31, 2023
NAICS Code 532283: HOME HEALTH EQUIPMENT RENTAL
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient HOMETOWN VETERANS MEDICAL, LLC
UEI ZZ2QXY53NL71
Recipient Address UNITED STATES, 39 S FORK CENTER DR STE A, WHITLEY CITY, MCCREARY, KENTUCKY, 426536301

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2666356 HOMETOWN VETERANS MEDICAL, LLC - ZZ2QXY53NL71 39 S MAIN ST STE 2, WHITLEY CITY, KY, 42653-6020
Capabilities Statement Link -
Phone Number 502-609-6388
Fax Number -
E-mail Address Jackson.ball@att.net
WWW Page -
E-Commerce Website -
Contact Person JACKSON BALL
County Code (3 digit) 147
Congressional District 05
Metropolitan Statistical Area -
CAGE Code 97WD0
Year Established 2021
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
Business Development Servicing Office KENTUCKY DISTRICT OFFICE (SBA office code 0457)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified Yes
Service-Disabled Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certification Date 2022-01-28
Service-Disabled Veteran-Owned Small Business Certification Expiration Date 2027-01-28

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 532283
NAICS Code's Description Home Health Equipment Rental
Small Yes
Code 621610
NAICS Code's Description Home Health Care Services
Small Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Related by officers

No related officers

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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