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Aspire Physical Recovery Center at Cahaba River, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CHRISTIAN, EDWARD R Agent 420 20TH ST N STE 3400BIRMINGHAM, AL 35203

Member

Name Role
NORTHPORT HOLDING OPERATIONS L.L.C. Member

Organizer

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

Events

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