| Name: | Elite Rehab, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 22 Sep 2014 (10 years ago) |
| Entity Number: | 000-320-942 |
| Register Number: | 000320942 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 206 SOLAMERE LANETALLASSEE, AL 36078 |
| Registered Office Street Address ZIP Code: | 36078 |
| Registered Office Mailing Address: | 1000 FRIENDSHIP RDTALLASSEE, AL 36078 |
| Registered Office Mailing Address ZIP Code: | 36078 |
| Authorized Capital: | 300 @ $300.00PV |
Activities
ANY LAWFUL ACTIVITY
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W9BLSLXN9428 | 2024-03-19 | 935 HIGHWAY 431, STE 1, ROANOKE, AL, 36274, 7332, USA | 935 HIGHWAY 431, STE 1, ROANOKE, AL, 36274, 7332, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Division Name | ELITE REHAB INC |
| Congressional District | 03 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-04-06 |
| Initial Registration Date | 2022-05-17 |
| Entity Start Date | 2014-09-18 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621340 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTY JOHNSON |
| Role | BILLING MANAGER |
| Address | 1000 FRIENDSHIP RD, TALLASSEE, AL, 36078, 1265, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTY JOHNSON |
| Role | BILLING MANAGER |
| Address | 1000 FRIENDSHIP RD, TALLASSEE, AL, 36078, 1265, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588020606 | 2016-01-05 | 2021-07-21 | 935 HIGHWAY 431 STE 1, ROANOKE, AL, 362747332, US | 1636 MULBERRY ST, MONTGOMERY, AL, 361061522, US | |||||||||||||||||||
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| Phone | +1 334-863-2068 |
| Fax | 3348632069 |
| Phone | +1 334-265-3199 |
| Fax | 3342653189 |
Authorized person
| Name | PAMELA PALMER VAN ETTEN |
| Role | ADMINISTRATOR |
| Phone | 3347995853 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRAIN, JUSTIN | Agent | 2515 E GLENN AVE # 104AUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| CRAIN, JUSTIN | Director | 2515 E GLENN AVE # 104AUBURN, AL 36830 |
| BLAIR, JARED | Director | 2515 E GLENN AVE # 104AUBURN, AL 36830 |
| MANN, CLINT | Director | 6942 WINTON BLOUNT BLVDMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| CRAIN, JUSTIN | Incorporator | 2515 E GLENN AVE # 104AUBURN, AL 36830 |
| BLAIR, JARED | Incorporator | 2515 E GLENN AVE # 104AUBURN, AL 36830 |
| MANN, CLINT | Incorporator | 6942 WINTON BLOUNT BLVDMONTGOMERY, AL 36117 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
