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