| Name: | El Reposo Nursing Facility |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 14 Jan 1944 (81 years ago) (Companies founded in January 1944) |
| Entity Number: | 000-815-390 |
| Register Number: | 000815390 |
| Historical Names: |
El Reposo Sanitarium
|
| ZIP code: | 35634 (Companies in Lauderdale, 35634) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 260 MILNER CHAPEL ROADFLORENCE, AL 35634 |
Activities
ESTABLISH & MAINTAIN SCHOOLS & OTHER INSTITUTIONS OF LEARNING
| 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 | |||||||||||||||||||||||||
|
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| 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 |
| Name | Role |
|---|---|
| HORTON, LINDA | Agent |
| Name | Role |
|---|---|
| RHODES, J B | Incorporator |
| PETERSON, MYRTLE | Incorporator |
| MARTIN, CHARLES NEIL | Incorporator |
| MARTIN, HAZEL | Incorporator |
| MARTIN, NEIL | Incorporator |
| 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
