| Name: | Huntsville Health and Rehabilitation, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jul 2011 (13 years ago) |
| Entity Number: | 000-020-925 |
| Register Number: | 000020925 |
| ZIP code: | 35203 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 420 NORTH 20TH STREET SUITE 3400BIRMINGHAM, AL 35203 |
Activities
OPERATE SKILLED CARE NURSING FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578848255 | 2011-10-13 | 2020-10-28 | 4010 CHRIS DR SW, HUNTSVILLE, AL, 358024189, US | 4010 CHRIS DR SW, HUNTSVILLE, AL, 358024189, US | |||||||||||||||||||
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| Phone | +1 256-883-8656 |
Authorized person
| Name | PHILLIP CODY LONG |
| Role | VICE PRESIDENT |
| Phone | 2053913600 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 135735 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| LEWIS, JERRY | Organizer | 9785 GEORGE H GRIMSLEY HWYCOLUMBIA, AL 36319 |
| HELMS, ANITA | Organizer | 931 FAIRFAX PARKTUSCALOOSA, AL 35406 |
| BREWER, BETH | Organizer | 931 FAIRFAX PARKTUSCALOOSA, AL 34506 |
| MASON, APRIL M | Organizer | 420 NORTH 20TH STREET, SUITE 3400BIRMINGHAM, AL 35203-6351 |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, EDWARD R | Agent | 420 20TH ST N STE 3400BIRMINGHAM, AL 35203 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
