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 | |||||||||||||||||||||||||
|
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