| Name: | Aspire Physical Recovery Center of West Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Mar 2014 (11 years ago) |
| Entity Number: | 000-298-270 |
| Register Number: | 000298270 |
| Historical Names: |
Riverside Health and Rehabilitation, L.L.C.
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 420 20TH STREET NORTH SUITE 3400BIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
Activities
OPERATE SKILLED CARE NURSING FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043675580 | 2015-12-29 | 2020-10-28 | 2400 HOSPITAL DR, NORTHPORT, AL, 354763360, US | 2400 HOSPITAL DR, NORTHPORT, AL, 354763360, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 205-330-8412 |
Authorized person
| Name | PHILLIP CODY LONG |
| Role | VICE PRESIDENT/CFO |
| Phone | 2053913600 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 224551 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CHRISTIAN, EDWARD R | Agent | 420 20TH ST N STE 3400BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| BROCKMAN, RICHARD J | Organizer | 420 N. 20TH STREET, SUITE 3400BIRMINGHAM, AL 35203 |
| HARDY, MICHAEL B | Organizer | 60 ARCADIA DRIVETUSCALOOSA, AL 35404 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-11-09 | Name Change | Riverside Health and Rehabilitation, L.L.C. | Aspire Physical Recovery Center of West Alabama, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
