Name: | Aspire Physical Recovery Center at Cahaba River, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 15 Sep 2011 (13 years ago) |
Entity Number: | 000-025-232 |
Register Number: | 000025232 |
Historical Names: |
Holding Operations I, LLC
Cahaba River Health and Rehabilitation, L.L.C. |
ZIP code: | 35203 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 420 NORTH 20TH STREET SUITE 3400BIRMINGHAM, AL 35203 |
Activities
SKILLED CARE NURSING FACILITIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1679027841 | 2016-08-05 | 2020-10-28 | 3070 HEALTHY WAY, VESTAVIA, AL, 35243, US | 3070 HEALTHY WAY, VESTAVIA, AL, 35243, US | |||||||||||||||||||||||
|
Phone | +1 205-977-7216 |
Authorized person
Name | PHILLIP CODY LONG |
Role | VICE PRESIDENT/CFO |
Phone | 2053913600 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | N3754 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 198484 |
State | AL |
Name | Role | Address |
---|---|---|
CHRISTIAN, EDWARD R | Agent | 420 20TH ST N STE 3400BIRMINGHAM, AL 35203 |
Name | Role |
---|---|
NORTHPORT HOLDING OPERATIONS L.L.C. | Member |
Name | Role | Address |
---|---|---|
BURCHFIELD, JOHN | Organizer | 931 FAIRFAX PARKTUSCALOOSA, AL 35406 |
CRANE, CONNIE | Organizer | 931 FAIRFAX PARKTUSCALOOSA, AL 35406 |
HELMS, ANITA | Organizer | 931 FAIRFAX PARKTUSCALOOSA, AL 35406 |
STEPHENSON, JACK P JR | Organizer | 420 N 20TH STREET STE 3400BIRMINGHAM, AL 35203 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2016-04-04 | Name Change | Cahaba River Health and Rehabilitation, L.L.C. | Aspire Physical Recovery Center at Cahaba River, LLC |
2013-05-30 | Name Change | Holding Operations I, LLC | Cahaba River Health and Rehabilitation, L.L.C. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State