| Name: | St. Clair Health & Rehab, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 02 Aug 2004 (20 years ago) (Companies founded in August 2004) |
| Entity Number: | 000-236-597 |
| Register Number: | 000236597 |
| ZIP code: | 35121 (Companies in Blount, 35121) |
| County: | Blount |
| Place of Formation: | Saint Clair County |
| Principal Address: | ONEONTA, AL |
| Registered Office Street Address: | 111 1ST AVENUE EASTONEONTA, AL 35121 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
OWN/LEASE/MANAGE SKILLED NURSING FACILITIES/REHAB CENTERS/ETC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669558086 | 2006-10-27 | 2008-12-02 | 7300 HIGHWAY 78E, PELL CITY, AL, 35128, US | 7300 HWY 78E, PELL CITY, AL, 35128, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-640-5212 |
| Fax | 2056407782 |
Authorized person
| Name | MRS. JUDY GANT |
| Role | ADMINISTRATOR |
| Phone | 2056405212 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12673 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4757650S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SIMS, MARK S | Agent | 111 FIRST AVENUE EASTONEONTA, AL 35121 |
| Name | Role | Address |
|---|---|---|
| SIMS, MARK S | Incorporator | 111 FIRST AVENUE EASTONEONTA, AL 35121 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
