| Name: | Long-Term Care Physicians, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 11 May 1994 (31 years ago) |
| Entity Number: | 000-164-459 |
| Register Number: | 000164459 |
| Historical Names: |
Long-Term Care Physicians of Alabama, Inc.
|
| ZIP code: | 35622 |
| County: | Morgan |
| Place of Formation: | Jefferson County |
| Principal Address: | FALKVILLE, AL |
| Registered Office Street Address: | 2ND STREET WESTFALKVILLE, AL 35622 |
| Authorized Capital: | $50 |
| Paid Share Capital: | ---- |
Activities
OWN
OPERATE & MAINTAIN NURSING HOME/HEALTHCARE RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194819375 | 2006-10-03 | 2013-10-09 | PO BOX 339, CULLMAN, AL, 350560339, US | 401 ARNOLD ST NE, CULLMAN, AL, 350551919, US | |||||||||||||||||||||
|
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| Phone | +1 256-739-9593 |
| Fax | 2567393680 |
Authorized person
| Name | MR. ROBERT FRANK BROWN JR. |
| Role | PRESIDENT/CEO |
| Phone | 2567399593 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529402080 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BROWN, R FRANK JR | Agent | 401 ARNOLD STREETCULLMAN, AL 35086 |
| Name | Role | Address |
|---|---|---|
| IRBY, RUSSELL L III | Incorporator | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1996-03-05 | Name Change | Long-Term Care Physicians of Alabama, Inc. | Long-Term Care Physicians, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
