| Name: | Cindy Haber Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 26 May 1994 (30 years ago) |
| Entity Number: | 000-813-679 |
| Register Number: | 000813679 |
| Historical Names: |
Baldwin County Mental Retardation Board, Inc.
The Mental Retardation/Developmental Disabilities Board, Inc. MR/DD Board, Inc. |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 226444 HIGHWAY 59 SOUTHROBERTSDALE, AL 36567 |
| Principal Address ZIP Code: | 36567 |
| Principal Mailing Address: | POST OFFICE BOX 853ROBERTSDALE, AL 36567 |
| Principal Mailing Address ZIP Code: | 36567 |
| Registered Office Street Address: | 22881 HWY 59ROBERTSDALE, AL 36567 |
| Registered Office Street Address ZIP Code: | 36567 |
Activities
COMBATTING MENTAL RETARDATION & OTHER DISABILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164563060 | 2007-02-12 | 2018-05-25 | PO BOX 853, ROBERTSDALE, AL, 365670853, US | 23214 E CHICAGO ST, ROBERTSDALE, AL, 36567, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 251-947-5608 |
| Fax | 2519476020 |
Authorized person
| Name | DAWN LINDSEY |
| Role | CASE MANAGER SUPERVISOR |
| Phone | 2519475608 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008303000 |
| State | AL |
| Issuer | MEDICAID |
| Number | 591600024 |
| State | AL |
| Issuer | MEDICAID |
| Number | 005437503 |
| State | AL |
| Issuer | MEDICAID |
| Number | 591700024 |
| State | AL |
| Name | Role |
|---|---|
| DAVIS, HELEN G | Incorporator |
| ROSS, ROBERT G | Incorporator |
| PRESLEY, THOMAS | Incorporator |
| Name | Role |
|---|---|
| ROSS, ROBERT G | Agent |
| Name | Role |
|---|---|
| BARNES, PEGGY VANOVER | Director |
| MYERS, CLARA B | Director |
| MUELLER, EILEEN | Director |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2018-04-13 | Name Change | MR/DD Board, Inc. | Cindy Haber Center, Inc. |
| 2011-01-11 | Name Change | The Mental Retardation/Developmental Disabilities Board, Inc. | MR/DD Board, Inc. |
| 1998-11-25 | Name Change | Baldwin County Mental Retardation Board, Inc. | The Mental Retardation/Developmental Disabilities Board, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
