| Name: | East Glen, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jul 2002 (23 years ago) |
| Entity Number: | 000-607-717 |
| Register Number: | 000607717 |
| Historical Names: |
Emerald Hills, LLC
East Glen Center for Nursing and Rehabilitation, LLC |
| ZIP code: | 35242 |
| County: | Shelby |
| Place of Formation: | Delaware |
| Principal Address: | 1209 ORANGE STREETWILMINGTON, DE 19801 |
| Registered Office Street Address: | 600 CORPORATE PARKWAY, SUITE 100BIRMINGHAM, AL 35242 |
Activities
TO OWN
OPERATE & MANAGE HEALTHCARE/NURSING HOME FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366498941 | 2006-05-26 | 2008-04-29 | 600 CORPORATE PKWY, SUITE 100, BIRMINGHAM, AL, 352422934, US | 53 MEDICAL PARK DRIVE, EAST, BIRMINGHAM, AL, 352353402, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-783-8460 |
| Fax | 2057838450 |
| Phone | +1 205-836-4231 |
| Fax | 2058385327 |
Authorized person
| Name | MRS. BARBARA E. ESTEP |
| Role | DIRECTOR, REGULATORY AFFAIRS |
| Phone | 2057838472 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12566 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47580505 |
| State | AL |
| Name | Role |
|---|---|
| BARBARA ESTEP | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2006-05-23 | Name Change | East Glen Center for Nursing and Rehabilitation, LLC | East Glen, LLC |
| 2005-07-29 | Name Change | Emerald Hills, LLC | East Glen Center for Nursing and Rehabilitation, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
