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Rehab Associates of Jackson Hospital, LLC

Details

Name: Rehab Associates of Jackson Hospital, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Jul 2013 (11 years ago) (Companies founded in July 2013)
Entity Number: 000-281-505
Register Number: 000281505
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities REHABILITATION THERAPY SERVICES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
V1PDG2GXBRH9 2024-06-14 1215 MULBERRY ST, MONTGOMERY, AL, 36106, 1130, USA PO BOX 536889, ATLANTA, GA, 30353, USA

Business Information

Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-06-19
Initial Registration Date 2023-06-15
Entity Start Date 2013-07-24
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KRISTINA BAER
Role CASH ANALYST
Address PO BOX 536889, ATLANTA, GA, 30353, USA
Government Business
Title PRIMARY POC
Name KRISTINA BAER
Role CASH ANALYST
Address 225 GRANDVIEW AVE, CAMP HILL, PA, 17011, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275965436 2013-07-30 2016-04-28 4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA, 170554325, US 1215 MULBERRY ST, MONTGOMERY, AL, 361061130, US

Contacts

Phone +1 717-975-4510
Phone +1 334-262-6161
Fax 3348341705

Authorized person

Name MR. MICHAEL E TARVIN
Role VICE PRESIDENT AND SECRETARY
Phone 7179721132

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Organizer

Name Role Address
VERRECCHIA, PETER Organizer 1725 PINE STREETMONTGOMERY, AL 36106
BMHI HOLDINGS INC Organizer 855 SPRINGDALE DRIVE, SUITE 200EXTON, PA 19341
KOHN, ROBERT Organizer 2011 FERNWAY DRIVEMONTGOMERY, AL 36111

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State