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Camden Nursing Facility, Inc.

Details

Name: Camden Nursing Facility, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 09 Nov 1992 (32 years ago)
Entity Number: 000-153-018
Register Number: 000153018
County: Jefferson
Place of Formation: Autauga County
Principal Address: PRATTVILLE, AL
Registered Office Street Address: 3008 7TH AVE SOUTHBIRMINGHAM, AL 35233
Authorized Capital: $1,000

Activities NURSING HOMES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356441257 2006-09-22 2012-03-05 550 PONDEROSA DR, P.O. BOX 787, CAMDEN, AL, 367260787, US 550 PONDEROSA DR, CAMDEN, AL, 367260787, US

Contacts
Phone +1 334-682-4231
Fax 3346825224

Authorized person
Name MR. ELDRIDGE B STEWART
Role ADMINISTRATOR
Phone 3346824231

Taxonomy
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 4757170S
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2023 631078175 2024-05-17 CAMDEN NURSING FACILITY, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 550 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2022 631078175 2023-06-30 CAMDEN NURSING FACILITY, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 550 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2021 631078175 2022-03-24 CAMDEN NURSING FACILITY, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 550 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2020 631078175 2021-05-20 CAMDEN NURSING FACILITY, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 550 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2019 631078175 2020-04-30 CAMDEN NURSING FACILITY, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2018 631078175 2019-02-11 CAMDEN NURSING FACILITY, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2017 631078175 2018-07-06 CAMDEN NURSING FACILITY, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2016 631078175 2017-07-07 CAMDEN NURSING FACILITY, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2015 631078175 2016-05-05 CAMDEN NURSING FACILITY, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726
CAMDEN NURSING FACILITY, INC. RETIREMENT PLAN 2014 631078175 2015-05-07 CAMDEN NURSING FACILITY, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 623000
Sponsor’s telephone number 3346824231
Plan sponsor’s address 210 PONDEROSA DRIVE, CAMDEN, AL, 36726

Incorporator

Name Role
SMITH, J MYRON Incorporator

Agent

Name Role
RICHARD J. BROCKMAN Agent

Related by officers

SMITH, J MYRON

Fitnostics Institute, Inc. Sterling Care, Inc. Pratt Capitol, Inc. Alabama Medical Express, Inc. American Charities, Inc. Smith & Norman, P.C. Myron Smith, L.L.C. Autauga County Bar Association, Inc. American Financial Assurance Limited Liability Company Southern Industry Locators, L.L.C.

RICHARD J. BROCKMAN

We Care of Camden, Inc.

Related by address

PRATTVILLE, AL

Allen Auto Parts, Inc. Appliance Service, Inc. Autauga Groceries, Inc. B. & G. Incorporated Bank of Prattville Warren Burt, Inc. Card Lock Company The Citizens Bank, Prattville, Alabama Durbin Auto Parts Co. Inc. Godwin Hardware Co., Inc.

3008 7TH AVE SOUTHBIRMINGHAM, AL 35233

We Care of Camden, Inc. The Break I, Inc. The Cue Ball, Inc. Survey Properties I, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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