| Name: | Burns Nursing Home, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 Aug 1969 (56 years ago) |
| Entity Number: | 000-003-321 |
| Register Number: | 000003321 |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
OPERATE NURSING HOME
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164496691 | 2006-02-13 | 2024-08-29 | 701 MONROE ST NW, RUSSELLVILLE, AL, 356531358, US | 701 MONROE ST NW, RUSSELLVILLE, AL, 356531358, US | |||||||||||||||||||||
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| Phone | +1 256-332-4110 |
| Fax | 2563324163 |
Authorized person
| Name | MARK S DEARMAN |
| Role | ADMINISTRATOR |
| Phone | 2563324110 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-50090S |
| State | AL |
| Name | Role |
|---|---|
| BURNS, JOHN D | Incorporator |
| BURNS, ETHEL | Incorporator |
| DEARMEN, MARTHA BURNS | Incorporator |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 304712086 | 0418300 | 2001-11-28 | 701 MONROE STREET NW, RUSSELLVILLE, AL, 35653 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100036 B04 |
| Issuance Date | 2001-12-19 |
| Abatement Due Date | 2001-12-28 |
| Nr Instances | 1 |
| Nr Exposed | 58 |
| Gravity | 01 |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19100132 D02 |
| Issuance Date | 2001-12-19 |
| Abatement Due Date | 2002-01-24 |
| Nr Instances | 1 |
| Nr Exposed | 58 |
| Gravity | 01 |
| Citation ID | 01003 |
| Citaton Type | Other |
| Standard Cited | 19101200 E01 I |
| Issuance Date | 2001-12-19 |
| Abatement Due Date | 2001-12-24 |
| Nr Instances | 1 |
| Nr Exposed | 58 |
| Gravity | 01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9386337209 | 2020-04-28 | 0459 | PPP | 701 MONROE ST NW, RUSSELLVILLE, AL, 35653-1358 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
