Name: | Cogburn Health & Rehabilitation-Huntsville, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Dissolved |
Date of registration: | 08 Jun 1990 (34 years ago) |
Date of dissolution: | 23 Dec 2014 |
Entity Number: | 000-137-483 |
Register Number: | 000137483 |
Historical Names: |
Roberts Health Care Services, Inc.
Cogburn Nursing Center-Huntsville, 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 |
Activities
NURSING HOME
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295725877 | 2005-10-25 | 2008-05-22 | 4010 CHRIS DR SW, HUNTSVILLE, AL, 358024189, US | 4010 CHRIS DR SW, HUNTSVILLE, AL, 358024189, US | |||||||||||||||||||||||||
|
Phone | +1 256-883-8656 |
Fax | 2514767124 |
Authorized person
Name | MR. PRENTISS SMITH |
Role | CHIEF OPERATING OFFICER |
Phone | 2514764700 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 004924 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | LICENSE NUMBER |
Number | 004924 |
State | AL |
Name | Role |
---|---|
HUGHES, SUZZANE | Agent |
Name | Role | Address |
---|---|---|
DAVIS, RICHARD E | Incorporator | 27180 POLLARD ROADDAHNE, AL 36526 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2003-12-05 | Name Change | Cogburn Nursing Center-Huntsville, Inc. | Cogburn Health & Rehabilitation-Huntsville, Inc. |
2002-04-12 | Name Change | Roberts Health Care Services, Inc. | Cogburn Nursing Center-Huntsville, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State