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CRANIAL TECHNOLOGIES, INC.

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Company Details

Name: CRANIAL TECHNOLOGIES, INC.
Legal type: Foreign Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Aug 2023 (2 years ago)
Organization Date: 09 Jul 1993 (32 years ago)
Authority Date: 31 Aug 2023 (2 years ago)
Last Annual Report: 05 Jun 2024 (a year ago)
Organization Number: 1305004
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 1405 W Auto Drive Fl 2, Tempe, AZ 85284-1227
Place of Formation: ARIZONA

President

Name Role
Debra K. James President

Secretary

Name Role
Debra K. James Secretary

Director

Name Role
Eric Sondag Director
Robert Glass Director
Jack Sasson Director
Debra K. James Director
Henri Domange Director

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Treasurer

Name Role
Gregory Theodorakis Treasurer

Officer

Name Role
Gregory Theodorakis Officer
Debra James Officer
Stacey Eggleston Officer
Timothy Littlefield Officer

National Provider Identifier

NPI Number:
1699550798
Certification Date:
2023-08-28

Authorized Person:

Name:
OUMOU K BAH
Role:
COMPLIANCE & MEDICAID SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 289273 Home Medical Equipment and Services Provider Active 2023-12-14 - - 2025-09-30 950 Breckenridge Lane, Suite 275, Louisville, KY 40207
Department of Professional Licensing 252654 Home Medical Equipment and Services Provider Active 2019-08-16 - - 2025-09-30 1720 West End Ave. Suite 630, Nashville, TN 37203
Department of Professional Licensing 172912 Home Medical Equipment and Services Provider Active 2017-04-21 - - 2026-09-30 4030 Smith Road #105, Cincinnati, OH 45209

Filings

Name File Date
Annual Report 2024-06-05
Certificate of Authority FBE 2023-08-31

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Sources: Kentucky Secretary of State