| Name: | NCA 310 |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 20 Apr 1960 (65 years ago) |
| Entity Number: | 000-729-691 |
| Register Number: | 000729691 |
| Historical Names: |
Morgan, Lawrence, Limestone Unit of the Alabama Association for Retarded Children
Center for the Developmentally Disabled, North Central Alabama North Central Alabama Mental Retardation Authority, Inc. |
| Place of Formation: | Morgan County |
Activities
TO PROMOTE THE GENERAL WELFARE OF MENTALLY RETARDED PERSONS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982850491 | 2008-08-15 | 2008-08-15 | 445 MOULTON ST E, P.O. BOX 597, DECATUR, AL, 356013000, US | 445 MOULTON ST E, DECATUR, AL, 356013000, US | |||||||||||||||||||||
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| Phone | +1 256-355-7315 |
| Fax | 2563557315 |
Authorized person
| Name | MR. EARL E. BRIGHTWELL |
| Role | DIRECTOR |
| Phone | 2563557315 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 591500001 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5Q0F7 | Active | Non-Manufacturer | 2009-09-22 | 2016-03-18 | No data | No data | |||||||||||||||
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| POC | EARL BRIGHTWELL |
| Phone | +1 256-355-7315 |
| Fax | +1 256-355-7317 |
| Address | 445 MOULTON ST E STE 101, DECATUR, MORGAN, AL, 35601 3058, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| RIGGS, EARL | Incorporator |
| HARD, JOHN S | Incorporator |
| MCENTIRE, LEROY JR | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-02-27 | Name Change | North Central Alabama Mental Retardation Authority, Inc. | NCA 310 |
| 1993-02-16 | Name Change | Center for the Developmentally Disabled, North Central Alabama | North Central Alabama Mental Retardation Authority, Inc. |
| 1976-03-05 | Name Change | Morgan, Lawrence, Limestone Unit of the Alabama Association for Retarded Children | Center for the Developmentally Disabled, North Central Alabama |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
