| Name: | Ball HealthCare-Eastview, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 18 Jun 1999 (25 years ago) |
| Entity Number: | 000-203-558 |
| Register Number: | 000203558 |
| Historical Names: |
Ball HealthCare-Montclair, Inc.
|
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | ONE SOUTHERN WAYMOBILE, AL 36619 |
| Registered Office Street Address ZIP Code: | 36619 |
| Authorized Capital: | $50 |
Activities
NURSING FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275569873 | 2006-06-24 | 2016-11-14 | 1 SOUTHERN WAY, MOBILE, AL, 366191210, US | 7755 4TH AVE S, BIRMINGHAM, AL, 352064425, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 251-433-9801 |
| Fax | 2514339807 |
| Phone | +1 205-833-0146 |
| Fax | 2058332978 |
Authorized person
| Name | MS. SARA L WALLACE |
| Role | ADMINISTRATOR |
| Phone | 2058330146 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12569 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4750140S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BALL, CLARENCE M JR | Agent | ONE SOUTHERN WAYMOBILE, AL 36619 |
| Name | Role | Address |
|---|---|---|
| BALL, CLARENCE M JR | Incorporator | ONE SOUTHERN WAYMOBILE, AL 36619 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1999-07-21 | Name Change | Ball HealthCare-Montclair, Inc. | Ball HealthCare-Eastview, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
