| 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
| 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 | |||||||||||||||||||||||
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| 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 |
| 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 |
| Name | Role |
|---|---|
| CSC LAWYERS INCORPORATION SVC INC | Agent |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
