| Name: | Thomasville Health Care and Rehabilitation Center |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 09 Apr 1963 (62 years ago) (Companies founded in April 1963) |
| Entity Number: | 000-820-142 |
| Register Number: | 000820142 |
| Historical Names: |
The Hospital Building Authority of The City of Thomasville
|
| Place of Formation: | Clarke County |
| Principal Address: | THOMASVILLE, AL |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750397402 | 2006-08-01 | 2013-01-08 | 1425 MOSLEY DR, THOMASVILLE, AL, 367843334, US | 1425 MOSLEY DR, THOMASVILLE, AL, 367843334, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-636-5614 |
| Fax | 3346361021 |
Authorized person
| Name | MRS. DIANE O GATLIN |
| Role | ADMINISTRATOR |
| Phone | 3346365614 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 12500 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4754390S |
| State | AL |
| Issuer | BCBS |
| Number | 010584 |
| State | AL |
| Issuer | MEDICAID DME |
| Number | 000028598 |
| State | AL |
| Name | Role |
|---|---|
| MEGGINSON, G W | Incorporator |
| TUCKER, EARL | Incorporator |
| GLASS, HAROLD | Incorporator |
| HARRISON, G B | Incorporator |
| MOORE, CECIL | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2011-01-14 | Name Change | The Hospital Building Authority of The City of Thomasville | Thomasville Health Care and Rehabilitation Center |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
