| Name: | Baldwin County Transitional Care, LLC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 12 Oct 2017 (7 years ago) |
| Date of dissolution: | 29 Dec 2023 |
| Entity Number: | 000-405-886 |
| Register Number: | 000405886 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 353 SOUTH SCHOOL STREETFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962913350 | 2017-10-12 | 2019-09-12 | PO BOX 587, FAIRHOPE, AL, 365330587, US | 77 MAGNOLIA AVE, FAIRHOPE, AL, 365322540, US | |||||||||||||||||||||||||||||
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| Phone | +1 251-300-0025 |
| Fax | 8552928226 |
Authorized person
| Name | SABRINA REEVES |
| Role | CO-OWNER |
| Phone | 2513000025 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA1092 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS-AL |
| Number | 51205740 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| KAHN, SABRINA | Agent | 353 SOUTH SCHOOL STREETFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| KAHN, SABRINA | Member | 353 SOUTH SCHOOL STREETFAIRHOPE, AL 36532 |
| REEVES, TERRYL | Member | 77 MAGNOLIA AVENUEFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| KAHN, SABRINA | Organizer | 353 SOUTH SCHOOL STREETFAIRHOPE, AL 36532 |
| BRITT, BRIAN P | Organizer | 455 Magnolia Avenue, Suite C-1Fairhope, AL 36532 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
