| Name: | Gulf Coast Rehab Equipment Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 23 Aug 2000 (25 years ago) |
| Entity Number: | 000-918-070 |
| Register Number: | 000918070 |
| Historical Names: |
ATG-Gulf Coast, Inc.
|
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 184 SHUMAN BLVD STE 200NAPERVILLE, IL 60562 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558444810 | 2006-10-23 | 2023-05-12 | 805 BROOK ST STE 402, ROCKY HILL, CT, 060673431, US | 801 LAKESIDE DR, MOBILE, AL, 366935117, US | |||||||||||||||||||||||||
|
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| Phone | +1 314-447-7500 |
| Phone | +1 251-666-1055 |
| Fax | 2516661415 |
Authorized person
| Name | WALTER JOHNSON |
| Role | CREDENTIALING AND LICENSURE MANAGER |
| Phone | 3144477515 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 145 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 61M00 | Obsolete | Non-Manufacturer | 2010-06-22 | 2022-02-25 | 2022-02-24 | No data | |||||||||||||||||||||||
|
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| POC | MIKE CALLAHAN |
| Phone | +1 205-833-0284 |
| Fax | +1 205-327-2087 |
| Address | 801 LAKESIDE DR STE B, MOBILE, AL, 36693 0000, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2016-03-01 |
| CAGE number | 7ETR7 |
| Company Name | ATG GROUP HOLDINGS LLC |
| CAGE Last Updated | 2024-02-25 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2000-11-17 | Name Change | ATG-Gulf Coast, Inc. | Gulf Coast Rehab Equipment Inc. |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | V6180Q9993 | 2010-09-28 | 2010-10-08 | 2010-10-08 | |||||||||||||||||||
|
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| Title | TAS::36 0160::TAS MEDICAL, DENTAL & VETERINARY EQ |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | GULF COAST REHAB EQUIPMENT INC |
| UEI | MGDWGE2UJ5W1 |
| Legacy DUNS | 178619029 |
| Recipient Address | UNITED STATES, 801 LAKESIDE DR STE B, MOBILE, 366935117 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
