| Name: | Millennium Nursing and Rehab Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Dec 2005 (19 years ago) (Companies founded in December 2005) |
| Entity Number: | 000-932-722 |
| Register Number: | 000932722 |
| Historical Names: |
Willow Run Nursing Center, Inc.
Millennium Nursing and Rehab Center, Inc. |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 201 Jordan RdFranklin, TN 37027 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427131507 | 2006-10-23 | 2021-05-03 | PO BOX 10, PARSONS, TN, 383630010, US | 5275 MILLENNIUM DR NW, HUNTSVILLE, AL, 35806, US | |||||||||||||||||||||||||||||
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| Phone | +1 731-847-6343 |
| Fax | 7318474200 |
| Phone | +1 256-489-6800 |
| Fax | 2564896520 |
Authorized person
| Name | MS. ROBIN F BRADLEY |
| Role | SECRETARY |
| Phone | 6155958383 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 13043 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-58190S |
| State | AL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-06-30 | Name Change | Millennium Nursing and Rehab Center, Inc. | Millennium Nursing and Rehab Center, LLC |
| 2008-09-02 | Name Change | Willow Run Nursing Center, Inc. | Millennium Nursing and Rehab Center, Inc. |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
