Name: | Hanceville Nursing & Rehab Center, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 21 Nov 2003 (21 years ago) |
Entity Number: | 000-232-155 |
Register Number: | 000232155 |
County: | Cullman |
Place of Formation: | Cullman County |
Principal Address: | HANCEVILLE, AL |
Registered Office Street Address: | 420 N MAIN STHANCEVILLE, AL 35077 |
Registered Office Street Address ZIP Code: | 35077 |
Authorized Capital: | $10 |
Activities
OWN/OPERATE/MANAGE A NURSING HOME/REHABILITATION CENTER
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ERZCEMCELYQ5 | 2024-11-07 | 420 MAIN ST NE, HANCEVILLE, AL, 35077, 5455, USA | 420 MAIN ST NE, HANCEVILLE, AL, 35077, 5455, USA | |||||||||||||||||||||||||||||||||||||||||||||||
|
Doing Business As | HANCEVILLE NURSING & REHAB CENTER INC |
URL | http://www.hnrcenter.com |
Congressional District | 04 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-11-10 |
Initial Registration Date | 2018-05-18 |
Entity Start Date | 1965-11-01 |
Fiscal Year End Close Date | Jun 30 |
Service Classifications
NAICS Codes | 623110, 623311, 623312 |
Product and Service Codes | G005, Q401, Q402, Q506, Q999, V119, V129, V301, V999 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | DONNA GUTHRIE |
Role | ADMINISTRATOR |
Address | 420 MAIN STREET NE, HANCEVILLE, AL, 35077, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | DONNA GUTHRIE |
Role | ADMINISTRATOR |
Address | 420 MAIN STREET NE, HANCEVILLE, AL, 35077, USA |
Past Performance | Information not Available |
---|
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346244217 | 2005-06-09 | 2010-01-25 | 420 MAIN ST., N.E., HANCEVILLE, AL, 35077, US | 420 MAIN ST., N.E., HANCEVILLE, AL, 35077, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 256-352-9100 |
Fax | 2563523136 |
Authorized person
Name | MR. MICHAEL PAUL VICKERS |
Role | ADMINISTRATOR |
Phone | 2563529100 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 09989 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | N2203 |
State | AL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 4750730S |
State | AL |
Name | Role |
---|---|
GUTHRIE, DONNA | Agent |
Name | Role | Address |
---|---|---|
MCCLANAHAN, RANDALL D | Incorporator | 1819 FIFTH AVE N STE 1000BIRMINGHAM, AL 35203 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2004-08-16 | Capital Change | $50 Authorized --- Paid In | $10 Authorized undefined Paid In |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DELIVERY ORDER | AWARD | 36C24724K0075 | 2021-10-01 | 2026-09-30 | 2026-09-30 | |||||||||||||||||||||||||
|
Obligated Amount | 65840.30 |
Current Award Amount | 65840.30 |
Potential Award Amount | 65840.30 |
Description
Title | EXPRESS REPORT: CNH SERVICES JUNE 2024 |
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 | HANCEVILLE NURSING & REHAB CENTER, INC. |
UEI | ERZCEMCELYQ5 |
Recipient Address | UNITED STATES, 420 MAIN ST NE, HANCEVILLE, CULLMAN, ALABAMA, 350775455 |
Unique Award Key | CONT_IDV_36C24721D0063_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 0.00 |
Potential Award Amount | 2368086.94 |
Description
Title | CNH SERVICES HANCEVILLE NH - EXERCISE OPTION YEAR 2 |
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 | HANCEVILLE NURSING & REHAB CENTER, INC. |
UEI | ERZCEMCELYQ5 |
Recipient Address | UNITED STATES, 420 MAIN ST NE, HANCEVILLE, CULLMAN, ALABAMA, 350775455 |
Unique Award Key | CONT_AWD_36C24724K0069_3600_36C24721D0063_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 60393.00 |
Current Award Amount | 60393.00 |
Potential Award Amount | 60393.00 |
Description
Title | EXPRESS REPORT: CNH SPEND ANALYSIS - MAY 2024 |
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 | HANCEVILLE NURSING & REHAB CENTER, INC. |
UEI | ERZCEMCELYQ5 |
Recipient Address | UNITED STATES, 420 MAIN ST NE, HANCEVILLE, CULLMAN, ALABAMA, 350775455 |
Unique Award Key | CONT_AWD_36C24724K0068_3600_36C24721D0063_3600 |
Awarding Agency | Department of Veterans Affairs |
Link | View Page |
Award Amounts
Obligated Amount | 196683.51 |
Current Award Amount | 196683.51 |
Potential Award Amount | 196683.51 |
Description
Title | EXPRESS REPORT: CNH SERVICES: JAN, MARCH, AND APRIL 2024 |
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 | HANCEVILLE NURSING & REHAB CENTER, INC. |
UEI | ERZCEMCELYQ5 |
Recipient Address | UNITED STATES, 420 MAIN ST NE, HANCEVILLE, CULLMAN, ALABAMA, 350775455 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State