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Franklin LTC, LLC

Details

Name: Franklin LTC, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Nov 2015 (9 years ago)
Entity Number: 000-349-331
Register Number: 000349331
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528085560 2006-07-16 2016-01-20 390 UNDERWOOD RD, RUSSELLVILLE, AL, 356534105, US 390 UNDERWOOD RD, RUSSELLVILLE, AL, 356534105, US

Contacts

Phone +1 256-332-3826
Fax 2563323874

Authorized person

Name MR. GENE BENNETT HUBBARD JR.
Role MANAGER
Phone 6018492294

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 12543
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE-CROSS
Number 010578
State AL
Issuer MEDICAID
Number 4757600S
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TERRACE MANOR NURSING & REHABILITATION CENTER RETIREMENT PLAN 2020 810817674 2022-10-14 FRANKLIN LTC, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 623000
Sponsor’s telephone number 6018492294
Plan sponsor’s address 390 UNDERWOOD ROAD, RUSSELLVILLE, AL, 35653

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing PLAN SPONSOR
TERRACE MANOR NURSING & REHABILITATION CENTER RETIREMENT PLAN 2020 810817674 2021-07-27 FRANKLIN LTC, LLC 39
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 623000
Sponsor’s telephone number 6018492294
Plan sponsor’s address 390 UNDERWOOD ROAD, RUSSELLVILLE, AL, 35653

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing PLAN SPONSOR
TERRACE MANOR NURSING & REHABILITATION CENTER RETIREMENT PLAN 2019 810817674 2020-09-17 FRANKLIN LTC, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 623000
Sponsor’s telephone number 6018492294
Plan sponsor’s address 390 UNDERWOOD ROAD, RUSSELLVILLE, AL, 35653

Signature of

Role Plan administrator
Date 2020-09-17
Name of individual signing PLAN SPONSOR

Agent

Name Role
NATIONAL REGISTERED AGENTS INC OF AL Agent

Organizer

Name Role
HUBBARD, G BENNETT JR Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State