| Name: | Gordon Oaks Convalescent Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 23 Jun 1989 (35 years ago) |
| Date of dissolution: | 30 Jul 2014 |
| Entity Number: | 000-131-506 |
| Register Number: | 000131506 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 6207 COTTAGE HILL RD STE GMOBILE, AL 36609 |
| Registered Office Street Address ZIP Code: | 36609 |
| Authorized Capital: | $1,000 |
Activities
HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275639429 | 2006-09-15 | 2020-08-22 | 3151 KNOLLWOOD DR, MOBILE, AL, 366932753, US | 3151 KNOLLWOOD DR, MOBILE, AL, 366932753, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-661-7608 |
| Fax | 2516650134 |
Authorized person
| Name | MR. TERRY J. MARTIN |
| Role | SECRETARY |
| Phone | 2516660250 |
Taxonomy
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | 12769 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12642 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4757990S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SAAD, LELAND L | Agent | 6207 COTTAGE HILL RD STE GMOBILE, AL 36609 |
| Name | Role |
|---|---|
| SAAD, JOHN E | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
