| Name: | Anniston Health and Rehab Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Aug 2016 (8 years ago) |
| Entity Number: | 000-370-192 |
| Register Number: | 000370192 |
| County: | Shelby |
| Place of Formation: | Delaware |
| Registered Office Street Address: | 600 CORPORATE PARKWAY, SUITE 100BIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Principal Address: | 600 Corporate Parkway, Suite 100Birmingham, AL 35242 |
| Principal Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598214272 | 2016-09-23 | 2020-02-17 | 600 CORPORATE PARKWAY, SUITE 100, BIRMINGHAM, AL, 352425451, US | 600 E 8TH ST, ANNISTON, AL, 362075822, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-783-8440 |
| Phone | +1 256-236-4949 |
Authorized person
| Name | ROBERT GARY GOFF |
| Role | EVP/CFO |
| Phone | 2057838460 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N0801 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 200040 |
| State | AL |
| Name | Role |
|---|---|
| BARBARA ESTEP | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
