| Name: | Cogburn Health & Rehabilitation, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Feb 1993 (32 years ago) |
| Date of dissolution: | 23 Dec 2014 |
| Entity Number: | 000-154-619 |
| Register Number: | 000154619 |
| Historical Names: |
CHC Health Center, Inc.
Cogburn Health Center, 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: | $5,000 |
Activities
SKILLED NURSING CARE FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649260225 | 2005-10-25 | 2009-04-13 | 148 TUSCALOOSA ST, MOBILE, AL, 366073408, US | 148 TUSCALOOSA ST, MOBILE, AL, 366073408, US | |||||||||||||||||||||||||
|
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| Phone | +1 251-471-5431 |
| Fax | 2514767124 |
Authorized person
| Name | PRENTISS SMITH |
| Role | CHIEF OPERATING OFFICER |
| Phone | 2514764700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 103749 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | 103749 |
| State | AL |
| Name | Role |
|---|---|
| HUGHES, SUZZANEE | 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 Health Center, Inc. | Cogburn Health & Rehabilitation, Inc. |
| 1996-06-27 | Name Change | CHC Health Center, Inc. | Cogburn Health Center, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
