Search icon

RAVEN ROCK HEALTH & WELLNESS, LLC

Company Details

Name: RAVEN ROCK HEALTH & WELLNESS, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Mar 2022 (3 years ago)
Organization Date: 12 Mar 2022 (3 years ago)
Last Annual Report: 18 Mar 2025 (3 months ago)
Managed By: Members
Organization Number: 1196110
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40380
City: Stanton, Bowen, Patsey, Rosslyn
Primary County: Powell County
Principal Office: 101 N Main St, Stanton, KY 40380
Place of Formation: KENTUCKY

Registered Agent

Name Role
GEORGETTE GREENE Registered Agent

Member

Name Role
Georgette Greene Member
Heather Deel Member

Organizer

Name Role
GEORGETTE GREENE Organizer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FVHAWA9LAVA4
CAGE Code:
9BD55
UEI Expiration Date:
2024-03-21

Business Information

Division Name:
N/A
Activation Date:
2023-03-24
Initial Registration Date:
2022-06-10

National Provider Identifier

NPI Number:
1144978594
Certification Date:
2023-06-10

Authorized Person:

Name:
GEORGETTE LEE GREENE
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6067750515

Filings

Name File Date
Annual Report 2025-03-18
Annual Report 2024-05-16
Annual Report 2023-07-11
Principal Office Address Change 2022-05-22
Articles of Organization (LLC) 2022-03-12

Sources: Kentucky Secretary of State