Name: | United States Health & Housing Foundation, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 11 Mar 1988 (37 years ago) |
Entity Number: | 000-066-269 |
Register Number: | 000066269 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 711 S 29TH STBIRMINGHAM, AL 35223 |
Registered Office Street Address ZIP Code: | 35223 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073591236 | 2006-01-06 | 2014-05-23 | 929 MIXON SCHOOL ROAD, OZARK, AL, 363606174, US | 929 MIXON SCHOOL ROAD, OZARK, AL, 363606174, US | |||||||||||||||||||||||||||||||
|
Phone | +1 334-774-2631 |
Fax | 3347744252 |
Authorized person
Name | JUDY SHERRY ROBERTS |
Role | ADMINISTRATOR |
Phone | 3347742631 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 10509 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD |
Number | 010577 |
State | AL |
Issuer | MEDICAID |
Number | 4754180S |
State | AL |
Name | Role |
---|---|
MARX, V HUGO JR | Incorporator |
MARX, V HUGO III | Incorporator |
MCGUIRE, LISA | Incorporator |
Name | Role |
---|---|
MARX, V HUGO III | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State