| Name: | Huntsville Senior Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2006 (19 years ago) (Companies founded in February 2006) |
| Entity Number: | 000-610-117 |
| Register Number: | 000610117 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 6711 MOUNTAIN VIEW RD STE 205OOLTEWAH, TN 37363 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
RETIREMENT
ASSISTED LIVING
SPECIALTY CARE
NURSING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477506970 | 2006-05-18 | 2013-09-25 | 2004 MAX LUTHER DR NW, HUNTSVILLE, AL, 358103800, US | 2004 MAX LUTHER DR NW, HUNTSVILLE, AL, 358103800, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-852-0033 |
| Fax | 2568597700 |
Authorized person
| Name | THOMAS STEVEN DEAN |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2568520033 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N4505 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| License Number | 12610 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 475809OS |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
