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El Reposo Nursing Facility

Details

Name: El Reposo Nursing Facility
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 14 Jan 1944 (81 years ago)
Entity Number: 000-815-390
Register Number: 000815390
Historical Names: El Reposo Sanitarium
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 260 MILNER CHAPEL ROADFLORENCE, AL 35634
Registered Office Street Address ZIP Code: 35634

Activities ESTABLISH & MAINTAIN SCHOOLS & OTHER INSTITUTIONS OF LEARNING

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881748556 2007-01-22 2012-04-05 260 MILNERS CHAPEL RD, FLORENCE, AL, 356344757, US 260 MILNERS CHAPEL RD, FLORENCE, AL, 356344757, US

Contacts

Phone +1 256-757-2143
Fax 8886128092

Authorized person

Name MRS. LINDA HORTON
Role ADMINISTRATOR
Phone 2567572143

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number N3901
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 4752100S
State AL

Agent

Name Role
HORTON, LINDA Agent

Incorporator

Name Role
RHODES, J B Incorporator
PETERSON, MYRTLE Incorporator
MARTIN, CHARLES NEIL Incorporator
MARTIN, HAZEL Incorporator
MARTIN, NEIL Incorporator

Events

Event Date Event Type Old Value New Value
1998-03-16 Name Change El Reposo Sanitarium El Reposo Nursing Facility

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State