| Name: | GOS Operator, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Dec 2008 (16 years ago) (Companies founded in December 2008) |
| Entity Number: | 000-616-859 |
| Register Number: | 000616859 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Florida |
| Principal Address: | 100 NORTH TAMPA ST STE 3550TAMPA, FL 33602 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
NURSING HOME OPERATOR
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164668059 | 2008-12-23 | 2012-01-15 | 3151A KNOLLWOOD DR, MOBILE, AL, 366932745, US | 3151A KNOLLWOOD DR, MOBILE, AL, 366932745, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-661-7608 |
| Fax | 2516029146 |
Authorized person
| Name | GERALD B. MCAULIFFE |
| Role | ADMINISTRATOR |
| Phone | 2516617608 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 5525 (NH) |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 5527 (SCALF) |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-579905 |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
