| Name: | Progressive Healthcare Providers/Alabama, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 20 Jun 1995 (30 years ago) |
| Entity Number: | 000-077-836 |
| Register Number: | 000077836 |
| Historical Names: |
PHP of Alabama, Inc.
|
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
Activities
OWN/MANAGE NURSING HOMES/FACILITIES FOR MENTALLY RETARDED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467599282 | 2007-01-31 | 2020-08-22 | 468 HALLE PARK DR, COLLIERVILLE, TN, 380177089, US | 62 RED EAGLE PKWY, WETUMPKA, AL, 360922052, US | |||||||||||||||||||
|
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| Phone | +1 901-692-5555 |
| Fax | 9016925561 |
| Phone | +1 334-567-3729 |
| Fax | 3345146776 |
Authorized person
| Name | MR. WAYNE T ADDISON |
| Role | CONTROLLER |
| Phone | 9016925555 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| MARTIN, J THOMAS | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-10-30 | Name Change | PHP of Alabama, Inc. | Progressive Healthcare Providers/Alabama, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
