Name: | Prehab, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 11 Jul 1997 (27 years ago) (Companies founded in July 1997) |
Entity Number: | 000-189-051 |
Register Number: | 000189051 |
ZIP code: | 36117 (Companies in Montgomery, 36117) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Registered Office Street Address: | 8355 CROSSLAND LOOPMONTGOMERY, AL 36117 |
Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609812411 | 2006-06-21 | 2021-03-31 | POST OFFICE BOX 240698, MONTGOMERY, AL, 361240698, US | 8355 CROSSLAND LOOP, MONTGOMERY, AL, 361178483, US | |||||||||||||||||||||||||||||||
|
Phone | +1 334-270-1630 |
Fax | 8778778383 |
Authorized person
Name | DOUGLAS L STINSON |
Role | OWNER |
Phone | 3342701630 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 502 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS PROVIDER # |
Number | 051008224 |
State | AL |
Issuer | MEDICAID |
Number | IN009927585 |
State | AL |
Name | Role |
---|---|
THEODORE E. BRIDGES | Agent |
Name | Role | Address |
---|---|---|
TATE, ROBERT | Incorporator | 8355 CROSSLAND LOOPMONTGOMERY, AL 36117 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State