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Northway Health and Rehabilitation, L.L.C.

Details

Name: Northway Health and Rehabilitation, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Sep 2000 (24 years ago)
Entity Number: 000-671-708
Register Number: 000671708
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 420 NORTH TWENTIETH ST STE 3100BIRMINGHAM, AL 35203
Registered Office Street Address ZIP Code: 35203

Activities ACQUIRE/OPERATE/OWN SKILLED CARE NURSING FACILITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811943152 2006-05-26 2020-09-14 1424 25TH ST N, BIRMINGHAM, AL, 352342819, US 1424 25TH ST N, BIRMINGHAM, AL, 352342819, US

Contacts

Phone +1 205-328-5870

Authorized person

Name PHILLIP CODY LONG
Role CFO
Phone 2053913600

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Other Provider Identifiers

Issuer BCBS ID
Number 012651
State AL
Issuer MEDICAID
Number 4757850S
State AL

Agent

Name Role Address
CHRISTIAN, EDWARD R Agent 420 20TH ST N STE 3400BIRMINGHAM, AL 35203

Member

Name Role
ESTATES, J NORMAN Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State