| Name: | Birmingham Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 26 Sep 2007 (17 years ago) |
| Date of dissolution: | 16 Mar 2016 |
| Entity Number: | 000-410-421 |
| Register Number: | 000410421 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497934533 | 2007-10-25 | 2008-04-17 | 2728 10TH AVE S, BIRMINGHAM, AL, 352051202, US | 2728 10TH AVE S, BIRMINGHAM, AL, 352051202, US | |||||||||||||||||||||||
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| Phone | +1 205-933-7010 |
Authorized person
| Name | MRS. ALICE MARIE CLARK DANKS |
| Role | VP OF FINANACE |
| Phone | 4233081845 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N3737 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4755400S |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIRMINGHAM HEALTH CARE 403B RETIREMENT SAVINGS PLAN | 2014 | 630932057 | 2015-10-13 | BIRMINGHAM HEALTHCARE | 104 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-13 |
| Name of individual signing | BRENDA SINGGELLOS |
| Role | Employer/plan sponsor |
| Date | 2015-10-13 |
| Name of individual signing | BRENDA SINGGELLOS |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| DEFOOR, BYRON | Member | No data |
| O'BRIEN, JOHN | Member | No data |
| TAYLOR, CRAIG | Member | 2506 PANORAMA COVEBIRMINGHAM, AL 35216 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
