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
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 | |||||||||||||||||||||||||
|
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