| Name: | Cogburn Health & Rehabilitation-Midtown, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Dec 1988 (36 years ago) |
| Date of dissolution: | 23 Dec 2014 |
| Entity Number: | 000-128-068 |
| Register Number: | 000128068 |
| Historical Names: |
I.R.H. Acquisition Corporation
Ideal Nursing Center, Inc. Cogburn Nursing Center-Midtown, Inc. |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 2651 CAMERON ST STE DMOBILE, AL 36607 |
| Registered Office Street Address ZIP Code: | 36607 |
| Authorized Capital: | $10,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396735965 | 2005-10-25 | 2009-08-26 | 2651 CAMERON ST STE D, MOBILE, AL, 366073127, US | 3104 DAUPHIN SQ CONNECTOR, MOBILE, AL, 366072513, US | |||||||||||||||||||||||||
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| Phone | +1 251-450-2800 |
| Fax | 2514767124 |
Authorized person
| Name | MR. PRENTISS SMITH |
| Role | CHIEF OPERATING OFFICER |
| Phone | 2514764700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 016981 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | 016981 |
| State | AL |
| Name | Role |
|---|---|
| HUGHES, SUZANNE | Agent |
| Name | Role | Address |
|---|---|---|
| ROUSE, ROBERT H | Incorporator | 2000 LACLEDE BUILDING, 150 GOVERNMENMOBILE, AL 36602-3935 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-12-05 | Name Change | Cogburn Nursing Center-Midtown, Inc. | Cogburn Health & Rehabilitation-Midtown, Inc. |
| 1996-06-27 | Name Change | Ideal Nursing Center, Inc. | Cogburn Nursing Center-Midtown, Inc. |
| 1992-04-29 | Name Change | I.R.H. Acquisition Corporation | Ideal Nursing Center, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
