| Name: | Generations of Vernon, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Dec 2009 (15 years ago) (Companies founded in December 2009) |
| Entity Number: | 000-440-891 |
| Register Number: | 000440891 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
SKILLED NURSING FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073500468 | 2005-09-30 | 2014-04-24 | 1050 CONVALESCENT RD, VERNON, AL, 355924823, US | 1050 CONVALESCENT RD, VERNON, AL, 355924823, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-695-9313 |
| Fax | 2056959820 |
Authorized person
| Name | MR. JOHN ERIC MELTON |
| Role | MEMBER/CFO |
| Phone | 2055458444 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 09682 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4752280S |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 510-09170 |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role |
|---|---|
| FULLER, AUNDREA D | Member |
| MELTON, J ERIC | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
