| Name: | Rehab Services Group LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Dec 2017 (7 years ago) (Companies founded in December 2017) |
| Entity Number: | 000-409-291 |
| Register Number: | 000409291 |
| ZIP code: | 35962 (Companies in De Kalb, 35962) |
| County: | De Kalb |
| Registered Office Street Address: | 284 GAINES STCROSSVILLE, AL 35962 |
| Registered Office Mailing Address: | P.O. BOX 605ALBERTVILLE, AL 35950 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467180885 | 2022-08-12 | 2024-08-13 | 41718 AL HIGHWAY 75, GERALDINE, AL, 359743490, US | 15239 AL HIGHWAY 68, CROSSVILLE, AL, 359623481, US | |||||||||||||||||||||||
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| Phone | +1 256-925-0469 |
| Fax | 2566592244 |
| Fax | 2569250553 |
Authorized person
| Name | RAYMOND UFFORD |
| Role | MD/OWNER |
| Phone | 2569250469 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 292820 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REHAB SERVICES GROUP LLC | 2023 | 823581907 | 2024-07-03 | REHAB SERVICES GROUP LLC | 6 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | NICK RICE |
| Name | Role |
|---|---|
| UFFORD, RAYMOND | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
