Name: | Generations of Red Bay, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 08 Dec 2009 (15 years ago) |
Entity Number: | 000-440-892 |
Register Number: | 000440892 |
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
SKILLED NURSING FACILITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619964970 | 2005-10-03 | 2010-08-05 | 106 10TH AVE NW, RED BAY, AL, 355823800, US | 106 10TH AVE NW, RED BAY, AL, 355823800, US | |||||||||||||||||||||||||||||||
|
Phone | +1 256-356-4982 |
Fax | 2563568400 |
Authorized person
Name | MR. JOHN ERIC MELTON |
Role | MEMBER/CFO |
Phone | 2055458444 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 10989 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | STATE LICENSE NUMBER |
Number | 10989 |
State | AL |
Issuer | MEDICAID |
Number | 4754080S |
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