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ESRHC LLC

Details

Name: ESRHC LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Sep 2011 (13 years ago)
Date of dissolution: 03 Oct 2016
Entity Number: 000-024-654
Register Number: 000024654
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 150 SOUTH PERRY STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities OPERATE/MANAGE NURSING FACILITIES/OTHER HEALTHCARE FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902180847 2011-10-10 2011-10-17 3389 SHERIDAN ST, SUITE 416, HOLLYWOOD, FL, 330213606, US 101 VILLA DR, DAPHNE, AL, 365264653, US

Contacts

Phone +1 251-626-2694

Authorized person

Name MR. MOSS ELLENBOGEN
Role PRESIDENT AND TREASURER
Phone 3053083878

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number N0204
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 47-1082990S
State AL

Organizer

Name Role Address
SE HEALTHCARE INC Organizer 3389 SHERIDAN STREET #416HOLLYWOOD, FL 33021
REILLY, JAMES C Organizer 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205

Agent

Name Role
CSC LAWYERS INCORPORATION SVC INC Agent

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State