| Name: | Birmingham Nursing and Rehabilitation Center East, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 May 2003 (22 years ago) (Companies founded in May 2003) |
| Entity Number: | 000-689-932 |
| Register Number: | 000689932 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Mailing Address: | 444 S PERRY STMONTGOMERY, AL 36104-0347 |
| Registered Office Street Address: | 444 S PERRY STMONTGOMERY, AL 36104 |
Activities
OPERATE/MANAGE HEALTH CARE FACILITIES/SKILLED NURSING SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| U1B6AXJLCHJ5 | 2024-12-20 | 733 MARY VANN LN, BIRMINGHAM, AL, 35215, 5046, USA | 3960 SOUTHWESTERN BLVD, ORCHARD PARK, NY, 14127, 1720, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-12-25 |
| Initial Registration Date | 2005-08-18 |
| Entity Start Date | 2003-08-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEFANIE STAYOCH |
| Role | AR |
| Address | 733 MARY VANN LANE, BIRMINGHAM, AL, 35215, 5046, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACLYN LACHANCE |
| Address | 3690 SOUTHWESTERN BLVD, ORCHARD PARK, NY, 14127, 1740, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | STEFANIE STAYOCH |
| Address | 733 MARY VANN LANE, BIRMINGHAM, AL, 35215, 5046, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922111517 | 2006-08-16 | 2023-12-11 | PO BOX 428, ORCHARD PARK, NY, 141270428, US | 733 MARY VANN LN, BIRMINGHAM, AL, 352155046, US | |||||||||||||||||||||||||||||
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| Phone | +1 716-662-4955 |
| Fax | 7166679230 |
| Phone | +1 205-854-1361 |
| Fax | 2058541492 |
Authorized person
| Name | MR. NORBERT A BENNETT |
| Role | CO-CEO |
| Phone | 7166624955 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12580 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4757270S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| GILL, RICHARD H | Agent | 444 SOUTH PERRY STREETMONTGOMERY, AL 36101 |
| Name | Role |
|---|---|
| LKC LLC | Member |
| D & N LLC | Member |
| DTD HC LLC | Member |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | V247P1859 | 2008-06-16 | No data | No data | |||||||||||||||||||||
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| Title | NURSING HOME CARE |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BIRMINGHAM NURSING & REHABILITATION CENTER EAST, LLC |
| UEI | U1B6AXJLCHJ5 |
| Legacy DUNS | 602614377 |
| Recipient Address | UNITED STATES, 733 MARY VANN LN, BIRMINGHAM, 352155046 |
| Unique Award Key | CONT_AWD_VA521C818591_3600_V247P1859_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | BIRMINGHAM NURSING & REHABILITATION CENTER EAST, LLC |
| UEI | U1B6AXJLCHJ5 |
| Legacy DUNS | 602614377 |
| Recipient Address | UNITED STATES, 733 MARY VANN LN, BIRMINGHAM, 352155046 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
