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Greenbriar at the Altamont, LLC

Details

Name: Greenbriar at the Altamont, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 22 Oct 2001 (23 years ago) (Companies founded in October 2001)
Entity Number: 000-603-659
Register Number: 000603659
Historical Names: Greenbriar Health Services, LLC
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Delaware
Principal Address: 1209 ORANGE STREETWILMINGTON, DE 19801
Registered Office Street Address: 600 CORPORATE PARKWAY, SUITE 100BIRMINGHAM, AL 35242

Activities ACQUIRE
OWN & OPERATE SKILLED CARE NURSING FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962409797 2005-07-07 2008-04-29 600 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352422934, US 2831 HIGHLAND AVE S, BIRMINGHAM, AL, 352051801, US

Contacts

Phone +1 205-783-8472
Fax 2047838441
Phone +1 205-323-2724
Fax 2057143195

Authorized person

Name MS. BARBARA E. ESTEP
Role DIRECTOR OF REGULATORY AFFAIRS
Phone 2057838472

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 10295
State AL
Is Primary No
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 10548
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 47581308
State AL

Agent

Name Role
BARBARA ESTEP Agent

Events

Event Date Event Type Old Value New Value
2005-07-29 Name Change Greenbriar Health Services, LLC Greenbriar at the Altamont, LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State