| Name: | Altoona 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: | 000-236-681 |
| Register Number: | 000236681 |
| ZIP code: | 35121 (Companies in Blount, 35121) |
| County: | Blount |
| Place of Formation: | Etowah 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/MANAGE/OPERATE SKILLED NURSING FACILITIES/REHAB CENTERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609868595 | 2005-08-17 | 2008-12-01 | P.O. BOX 68, ALTOONA, AL, 35952, US | 6532 WALNUT GROVE RD, 6532 WALNUT GROVE RD, ALTOONA, AL, 359528405, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-589-6394 |
| Fax | 2055892112 |
Authorized person
| Name | MRS. LINDA BIGELOW |
| Role | ADMINISTRATOR |
| Phone | 2055896394 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10522 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID PROVIDER NUMBER |
| Number | 4757390S |
| State | AL |
| Issuer | BLUE CROSS BLUE SHEILD AL |
| Number | 010483 |
| 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
