| Name: | Albertville Healthcare Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Aug 1999 (25 years ago) (Companies founded in August 1999) |
| Entity Number: | 000-204-927 |
| Register Number: | 000204927 |
| ZIP code: | 36109 (Companies in Montgomery, 36109) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 100 PERRY HILL ROADMONTGOMERY, AL 36109 |
| Authorized Capital: | 100,000 |
Activities
NURSING HOME
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LSEWYP5ULHG9 | 2025-01-29 | 750 AL HIGHWAY 75 N, ALBERTVILLE, AL, 35951, 4014, USA | 750 AL HIGHWAY 75 N, ALBERTVILLE, AL, 35951, 4014, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-02-01 |
| Initial Registration Date | 2023-03-23 |
| Entity Start Date | 1999-08-23 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TAMMY STEPHENSON |
| Address | 750 ALABAMA HIGHWAY 75 NORTH, ALBERTVILLE, AL, 35951, 4014, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TAMMY. STEPHENSON |
| Address | 750 ALABAMA HIGHWAY 75 NORTH, ALBERTVILLE, AL, 35951, 4014, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609958206 | 2006-10-20 | 2012-01-11 | 750 AL HIGHWAY 75 N, ALBERTVILLE, AL, 359514014, US | 750 AL HIGHWAY 75 N, ALBERTVILLE, AL, 359514014, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-878-1398 |
| Fax | 2568786949 |
Authorized person
| Name | MRS. PATTI WALLACE |
| Role | CHAIRMAN OF THE BOARD |
| Phone | 3342739002 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12623 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-51240S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WALLACE, PATTI | Agent | 100 PERRY HILL ROADMONTGOMERY, AL 36109 |
| Name | Role | Address |
|---|---|---|
| STEPHENSON, JACK P JR | Incorporator | 420 N 20TH STREET STE 3400BIRMINGHAM, AL 35203 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24724K0020 | 2023-10-01 | 2024-05-31 | 2026-02-28 | |||||||||||||||||||||||||
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| Obligated Amount | 122533.06 |
| Current Award Amount | 122533.06 |
| Potential Award Amount | 122533.06 |
Description
| Title | EXPRESS REPORT: OCT 23-MAY 24 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | ALBERTVILLE HEALTHCARE CENTER, INC. |
| UEI | LSEWYP5ULHG9 |
| Recipient Address | UNITED STATES, 750 AL HIGHWAY 75 N, ALBERTVILLE, MARSHALL, ALABAMA, 359514014 |
| Unique Award Key | CONT_IDV_36C24723D0034_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 748875.00 |
Description
| Title | CNH SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | ALBERTVILLE HEALTHCARE CENTER, INC. |
| UEI | LSEWYP5ULHG9 |
| Recipient Address | UNITED STATES, 750 AL HIGHWAY 75 N, ALBERTVILLE, MARSHALL, ALABAMA, 359514014 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
